Jessica May Calypso

Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Pembroke, NC

NPI 1700599289 · NPPES record last updated Dec 29, 2022

Key facts

NPI
1700599289
Entity type
Individual (NPI type 1)
Primary specialty
Student in an Organized Health Care Education/Training Program 390200000X
Practice address
1 University Rd
Pembroke, NC 28372-8699
Phone
(978) 407-0027
NPI assigned
Dec 29, 2022
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)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X Yes

Addresses

Primary practice location

1 University Rd
Pembroke, NC 28372-8699

Mailing address

1320 Butterwood Cir
Fayetteville, NC 28314-0660

Other providers in Pembroke, NC

All providers in Pembroke, NC · Student in an Organized Health Care Education/Training Program in North Carolina

Sources for this page

Verify at the official NPI Registry.