Jessica K Ange, MD

Individual provider Active NPI Family Medicine Physician · Sylva, NC

NPI 1063469088 · NPPES record last updated Dec 5, 2011

Key facts

NPI
1063469088
Entity type
Individual (NPI type 1)
Primary specialty
Family Medicine Physician 207Q00000X
License
01059501A (IN)
Practice address
430 Fisher Creek Rd
Sylva, NC 28779-7700
Phone
(828) 586-4012
Fax
(828) 586-5162
NPI assigned
May 27, 2006
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
01059501AINMDFamily Medicine Physician

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 01059501A IN Yes

Addresses

Primary practice location

430 Fisher Creek Rd
Sylva, NC 28779-7700

Mailing address

430 Fisher Creek Rd
Sylva, NC 28779-7700
Phone (828) 586-4012

Other providers in Sylva, NC

All providers in Sylva, NC · Family Medicine Physician in North Carolina

Sources for this page

Verify at the official NPI Registry.