Individual
JESSICA VANDEVEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2754 NC-68, SUITE 111, HIGH POINT, NC 27265
(336) 802-1111
(336) 803-7136
Mailing address
2754 NC HIGHWAY 68 S STE 111, HIGH POINT, NC 27265-8382
(336) 802-1111
(336) 803-7136
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
11/22/2005
Last updated
11/04/2024
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