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Contact Information

MILDRED W JESSUP, RN
2023 S 17TH ST
WILMINGTON, NC28401-6600
 Phone: 910-251-6550
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Administrator

163WA2000X
 

Case Management

163WC0400X
 

Psychiatric/Mental Health

163WP0808X
Indicates primary specialty

NPI Profile & details for MILDRED W JESSUP · (Female)

NPI Number 1922298686
Status Active
Credentials RN (Registered Nurse)
Entity Individual
Enumeration date 07/30/2007
Last updated 07/30/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • NC License # 044008
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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