Individual
MRS. JESSICA WILSON BACON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
613 S MEMORIAL DR, GREENVILLE, NC 27834-2856
(252) 413-0720
Mailing address
613 S MEMORIAL DR, GREENVILLE, NC 27834-2856
(252) 413-0720
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
5018491
NC
Other
Enumeration date
07/24/2023
Last updated
07/24/2023
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