SearchNorth Carolina363L00000X

Jesse Baccus

NPI 1760101646 · on the registry since 2022

Practice

Address
100 Medical Dr
Elizabeth City, NC 27909
Phone
(252) 384-2600
Organisation at this address
Northeast Neuroscience, Pc
Albemarle Medical Specialist,Llc
Albemarle Physician Services - Sentara, Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
16

Additional practice sites

  • 600 Moye Blvd, Greenville, NC

Registry record

Primary taxonomy
363L00000X
363L00000X
Also registered as
390200000X
Licence states on file
NC
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2024-08-12

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in North Carolina