Individual
JESSICA TRIVETTE PREVETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
1424D FERN CREEK DR, STATESVILLE, NC 28625-9376
(704) 878-2058
Mailing address
1424D FERN CREEK DR, STATESVILLE, NC 28625-9376
(704) 878-2058
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5015796
NC
Other
Enumeration date
02/21/2022
Last updated
04/04/2022
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