| Jessica Diane Born, FNP | |
|
865 W Lake Dr, Mount Airy, NC 27030-2102 | |
| (336) 719-6100 | |
| (336) 719-2313 |
| Full Name | Jessica Diane Born |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Location | 865 W Lake Dr, Mount Airy, North Carolina |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336873827 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 5016888 (North Carolina) | Primary |
| Entity Name | Novant Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366409492 PECOS PAC ID: 1153234893 Enrollment ID: O20031121000692 |
| Entity Name | Forsyth Memorial Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1104548874 PECOS PAC ID: 9537071790 Enrollment ID: O20040405001702 |
| Mailing Address | Practice Location Address |
|---|---|
| Jessica Diane Born, FNP Po Box 751803, Charlotte, NC 28275-1803 Ph: () - | Jessica Diane Born, FNP 865 W Lake Dr, Mount Airy, NC 27030-2102 Ph: (336) 719-6100 |
Rebecca Reed, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 414 W Lebanon St, Mount Airy, NC 27030 Phone: 336-789-9492 | |
Mrs. Mallory Williams Grose, ANP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 694 Riverside Dr, Mount Airy, NC 27030 Phone: 336-719-7892 Fax: 336-719-7898 | |
Dr. Marian Patricia Michel, DNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1008 Old Rockford St, Mount Airy, NC 27030 Phone: 336-719-0400 Fax: 336-719-0582 | |
Amy Leigh Puckett-lawson, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2133 Rockford St Ste 1400, Mount Airy, NC 27030 Phone: 336-719-0398 Fax: 336-719-0494 | |
Natalie Susanne Hall, WHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 510 S South St, Mount Airy, NC 27030 Phone: 336-786-4522 Fax: 336-789-3025 | |
Amy Louise Crittenden, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 401 Technology Ln, Mount Airy, NC 27030 Phone: 336-789-2922 | |
Brittany Knicely Street, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 280 N Pointe Blvd, Mount Airy, NC 27030 Phone: 336-786-4133 Fax: 336-783-3417 |