Individual provider · Type 1 NPI

Jessica Diane Born, FNP

Nurse Practitioner · Clemmons, NC

NPI number 1336873827 Active

Practice location

6301 Stadium Dr # 500
Clemmons, NC 27012-8766

Fax (336) 766-8909

Mailing address

PO Box 60447
Charlotte, NC 28260-0447

Other practice locations

  • 4285 Wedge Dr, Pfafftown, NC 27040-9820 · (336) 413-1863
  • 865 Westlake Dr, Mount Airy, NC 27030-2102 · (336) 719-6100

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X5016888 (NC)
Family Nurse Practitioner 363LF0000X5016888 (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 1336873827

Jessica Diane Born, FNP's National Provider Identifier is 1336873827, issued on Jul 12, 2022. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Clemmons, NC. The record was last updated on Apr 7, 2026.