Individual provider · Type 1 NPI

Richard Edward Jernigan Jr., MD

Student in an Organized Health Care Education/Training Program · Wilmington, NC

NPI number 1255081980 Active

Practice location

2131 S 17th St
Wilmington, NC 28401-7407

Fax (910) 667-5650

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XJERN-KSG2JP (NC)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1255081980

Richard Edward Jernigan Jr., MD's National Provider Identifier is 1255081980, issued on Mar 25, 2022. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Wilmington, NC. The record was last updated on Mar 25, 2022.