Individual
T'ERRAH NICOLE JESSUP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPH, IBCLC
Contact information
Practice address
4000 OSSI CT STE 257, HIGH POINT, NC 27265-8827
(336) 536-6466
(336) 819-5518
Mailing address
350 MERRELL DR, WINSTON SALEM, NC 27127-3819
(336) 997-5896
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
—
—
174N00000X
Lactation Consultant (Non-RN)
Primary
L-301178
NC
Other
Enumeration date
07/01/2022
Last updated
05/22/2024
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