Mildred White Jessup, RN

Primary specialty

Administrator Registered NurseTaxonomy code 163WA2000X

License

044008 Issued in NC

Practice address

2023 S 17TH St
Wilmington, NC 28401-6600

Phone

(910) 251-6550

NPI assigned

Jul 30, 2007

Last updated

Jul 30, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1185753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1185753600000",
    "number": "1922298686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2023 S 17TH ST",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284016600",
            "telephone_number": "910-251-6550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2023 S 17TH ST",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284016600",
            "telephone_number": "910-251-6550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JESSUP",
        "first_name": "MILDRED",
        "middle_name": "WHITE",
        "name_prefix": "Ms.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-30",
        "last_updated": "2007-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WA2000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Administrator",
            "state": "NC",
            "license": "044008",
            "primary": true
        },
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": "NC",
            "license": "044008",
            "primary": false
        },
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "NC",
            "license": "044008",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rion Elizabeth Jenny, LCSWA
• Regina Marie Jensen, MD
• Richard Edward Jernigan Jr., MD
• Robin Jervis
• Jessica Morman, LMFT, PLLC (Horizon Wellness Services)
• Rachel Jester, MD
• Stephanie A Jett, LMBT, CLT
• Jewell & Jewell General Dentistry
• Jewell and Associates, PLLC
• Donald Jewell, LMBT

• Administrator Registered Nurse in Wilmington, NC
• Providers in Wilmington, NC by specialty
• Administrator Registered Nurse in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.