Individual provider · Type 1 NPI
Jennifer Thiessen, FNP-C
Addiction Medicine (Family Medicine) Physician · Kitty Hawk, NC
NPI number
1417412792
Active
Practice location
6345 N Croatan Hwy
Kitty Hawk, NC 27949-3887
Fax (252) 715-4468
Mailing address
6345 N Croatan Hwy Ste 201
Kitty Hawk, NC 27949-3887
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction Medicine (Family Medicine) Physician Primary | 207QA0401X | 5012458 (NC) |
Addiction Medicine (Family Medicine) Physician: A family medicine physician who specializes in the diagnosis and treatment of addictions.
About NPI 1417412792
Jennifer Thiessen, FNP-C's National Provider Identifier is 1417412792, issued on Jan 31, 2019. The primary taxonomy on file is Addiction Medicine (Family Medicine) Physician (207QA0401X), and the practice location is in Kitty Hawk, NC. The record was last updated on Mar 30, 2023.