Individual
STEPHANIE MARIE JASSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6915 VILLAGE MEDICAL CIR, CLEMMONS, NC 27012-8002
(336) 893-1000
Mailing address
1816 IRON HORSE DR, KERNERSVILLE, NC 27284-7180
(336) 413-4179
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
5023745
NC
Other
Enumeration date
01/08/2026
Last updated
01/08/2026
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