Individual provider · Type 1 NPI

Jamie Nicole Gregory

Nurse Practitioner · Mooresville, NC

NPI number 1265041602 Active · reactivated Aug 17, 2021

Practice location

417 E Statesville Ave
Mooresville, NC 28115-2590

Fax (704) 663-4873

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X5014842 (NC)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1265041602

Jamie Nicole Gregory's National Provider Identifier is 1265041602, issued on Jul 30, 2020. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Mooresville, NC. The record was last updated on Jun 12, 2025.