Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363L00000X | Nurse Practitioner | 185105 | NC |
N | 363LN0000X | Nurse Practitioner - Neonatal | 5005426 | NC |
NPI | 1013286061 |
---|---|
Provider Name | Jessica Lauren Houck |
First Address | Asheville, NC 28801-4601 |
Second Address | Asheville, NC 28801-4601 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/12/2011 |
Last Update Date | 07/04/2016 |