Individual
MRS. JESSICA S TERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP/BC
Contact information
Practice address
6701 PETERS CREEK RD STE 110, ROANOKE, VA 24019-4060
(800) 765-7130
(888) 500-1891
Mailing address
6701 PETERS CREEK RD STE 110, ROANOKE, VA 24019-4060
(800) 765-7130
(888) 500-1891
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024171615
VA
363LF0000X
Family Nurse Practitioner
51009
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
002697053
HIGHMARK BCBS
WV
05
—
3810023201
—
WV
Enumeration date
04/13/2012
Last updated
08/01/2022
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