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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JESSE ENTERLINE BACCUS

Active

JESSE ENTERLINE BACCUS is a Nurse Practitioner healthcare provider located in ELIZABETH CITY, North Carolina. NPI 1760101646 is currently active in the NPPES registry. Verify at CMS.

Nurse Practitioner · ELIZABETH CITY, NC

Registration Details

NPI Number
1760101646
Provider Type
Individual
Gender
Female
NPI Issued
Aug 24, 2022 (4.0122595511664 yrs)
Last Updated
Aug 12, 2024
License
5020391 (NC)

Practice Information

Address
100 MEDICAL DR
ELIZABETH CITY, NC, 279093361
Browse NC providers · Browse ZIP 27909
Phone
2523842600
Primary Specialty
Nurse Practitioner
363L00000X
Additional Specialty
Nurse Practitioner

Other Nurse Practitioner Providers in ELIZABETH CITY, NC

Name Credential NPI
FRANCES SMYTH FNP 1093795742
BILLEE BROWN PAYNE NP-C 1780636084
MRS. JULIE ELIZABETH SCHANNO MSN 1013064187
MS. BEVERLY MOORS FNP-C 1649423880
TUESDAY B SAUER ANP-C 1174801112
AMPARO ELISA HALECKI NP 1386088144
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.