Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JENNIFER THIESSEN, FNP-C
Active Sole ProprietorJENNIFER THIESSEN, FNP-C is a Addiction Medicine (Family Practice) healthcare provider located in KITTY HAWK, North Carolina. NPI 1417412792 is currently active in the NPPES registry. Verify at CMS.
Addiction Medicine (Family Practice) · KITTY HAWK, NC
Registration Details
- NPI Number
- 1417412792
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 31, 2019 (7.5712852659154 yrs)
- Last Updated
- Mar 30, 2023
- License
-
5012458 (NC)
- Sole Proprietor
- Yes
Practice Information
- Address
-
6345 N CROATAN HWYKITTY HAWK, NC, 279493887Browse NC providers · Browse ZIP 27949
- Phone
- 2527154466
- Fax
- 2527154468
- Primary Specialty
-
Addiction Medicine (Family Practice)
207QA0401X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.