Individual
JESSICA CHESTER HARRISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-3976
(336) 716-2255
Mailing address
524 LIBSON ST, DURHAM, NC 27703-8292
(919) 215-6319
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-07050
NC
Other
Enumeration date
02/03/2017
Last updated
10/15/2019
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