| Inner Banks Psychiatry, Pllc | |
|
314 W Queen St Edenton NC 27932-1733 | |
| (252) 302-1526 | |
| Not Available |
| Full Name | Inner Banks Psychiatry, Pllc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 314 W Queen St, Edenton, North Carolina |
| Authorized Official Name and Position | Jean Claude Jubert (CEO) |
| Authorized Official Contact | 2525181074 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Inner Banks Psychiatry, Pllc 301 N Granville St Edenton NC 27932-1823 Ph: (252) 518-1074 | Inner Banks Psychiatry, Pllc 314 W Queen St Edenton NC 27932-1733 Ph: (252) 302-1526 |
| NPI Number | 1326867938 |
|---|---|
| Provider Enumeration Date | 10/09/2024 |
| Last Update Date | 10/09/2024 |
| Certification Date | 10/09/2024 |
| Medicare PECOS PAC ID | 5193254944 |
|---|---|
| Medicare Enrollment ID | O20250124000164 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326867938 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Jean Jubert |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1295266161 PECOS PAC ID: 2860897550 Enrollment ID: I20221018000386 |
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