Individual
JESSICA ANNETTE HANSLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN CCM
Contact information
Practice address
100 BREWSTER BLVD, CAMP LEJEUNE, NC 28547-2575
(910) 450-4768
(910) 450-3732
Mailing address
100 BREWSTER BLVD, CAMP LEJEUNE, NC 28547-2575
(910) 450-4768
(910) 450-3732
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
231102
NC
163WA2000X
Administrator Registered Nurse
231102
NC
163WC0400X
Case Management Registered Nurse
Primary
231102
NC
Other
Enumeration date
10/17/2024
Last updated
10/17/2024
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