Jesse Enterline Baccus
NPI #1760101646 in Elizabeth City, North Carolina
Provider Information
- NPI Number
- 1760101646
- Entity Type
- Individual
- Name
- Jesse Enterline Baccus
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner
- Enumeration Date
- Aug 24, 2022
- Last Updated
- Aug 12, 2024
Practice Location
- Address
- 100 MEDICAL DR
- City
- Elizabeth City
- State
- North Carolina
- ZIP Code
- 27909-3361
- Phone
- (252) 384-2600
Specialties & Taxonomy Codes
| Specialty |
|---|
| Student in an Organized Health Care Education/Training Program |
| Nurse Practitioner |
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