Organization
ISLAND MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANET COOKE JARRETT (EXECUTIVE DIRECTOR)
(252) 255-6005
Entity
Organization
Contact information
Practice address
715 US HIGHWAY 64, MANTEO, NC 27954-9241
(252) 473-2500
(252) 473-1222
Mailing address
PO BOX 2360, MANTEO, NC 27954-2360
(252) 473-2500
(252) 473-1222
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
9401185
NC
363L00000X
Nurse Practitioner
Primary
168637
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0174L
BLUE CROSS BLUE SHIELD
NC
05
—
890714L
—
NC
Enumeration date
01/31/2007
Last updated
09/11/2025
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