Individual
JESSICA MAE PHELPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
615 S HUGHES BLVD, ELIZABETH CITY, NC 27909-4785
(252) 435-7885
Mailing address
139 TRAFTON RD, CAMDEN, NC 27921-7606
(252) 435-7885
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
252641
NC
363LF0000X
Family Nurse Practitioner
Primary
5017062
NC
Other
Enumeration date
01/28/2022
Last updated
11/09/2022
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