Individual
JESSICA WEATHERSBEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
2700 PROVIDENCE RD S, SUITE 300, WAXHAW, NC 28173-6313
(704) 243-2254
Mailing address
PO BOX 19305, CHARLOTTE, NC 28219-9305
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-01153
NC
Other
Enumeration date
12/28/2007
Last updated
07/18/2019
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