Ms. Jessica R Chadwick
Nurse Practitioner - Critical Care Medicine
4420 Lake Boone Trl
Raleigh
, North Carolina 27607-7505
Ms. Jessica R Chadwick
Nurse Practitioner - Critical Care Medicine
4420 Lake Boone Trl
Raleigh
, North Carolina 27607-7505
(410) 200-1798
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About
Features
Specialties
- Nurse Practitioner - Critical Care Medicine
Languages spoken
- English
Location
First Address
- Ms. Jessica R Chadwick
- 4420 Lake Boone Trl
- Raleigh, NC
- Zip : 27607-7505
- Phone : (410) 200-1798
Second Address
- Ms. Jessica R Chadwick
- 4420 Lake Boone Trl
- Raleigh, NC
- Zip : 27607-7505
- Phone : (410) 200-1798
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 363LC0200X | Nurse Practitioner - Critical Care Medicine | 0024169820 | VA |
| Y | 363LC0200X | Nurse Practitioner - Critical Care Medicine | 5008588 | NC |
National Provider Identifier
| NPI | 1124384003 |
|---|---|
| Provider Name | Ms. Jessica R Chadwick |
| First Address | Raleigh, NC 27607-7505 |
| Second Address | Raleigh, NC 27607-7505 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 05/04/2012 |
| Last Update Date | 25/03/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.