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1376181487
JESSICA NICOLE FAIRFAX
LUMBERTON, NC
NPI
1376181487
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: NC F07190414)
Enumeration Date
2019-12-19
Last Update Date
2024-11-21
Business Address
JESSICA NICOLE FAIRFAX
400 LIBERTY HILL RD
LUMBERTON, NC 28358-2446
Phone number: 910-739-3318
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Mailing Address
JESSICA NICOLE FAIRFAX
9833 OLD WHITEVILLE RD
LUMBERTON, NC 28358-7986
Phone number: 910-827-2412
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