Individual
JESSE ENTERLINE BACCUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
100 MEDICAL DR, ELIZABETH CITY, NC 27909-3361
(252) 384-2600
Mailing address
600 MOYE BLVD, GREENVILLE, NC 27834-4300
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5020391
NC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/24/2022
Last updated
08/12/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us