Individual provider · Type 1 NPI
Jessica Leigh Mack, ACNP
Nurse Practitioner · Winston Salem, NC
Practice location
1 Medical Center Blvd
Winston Salem, NC 27157-0001
Mailing address
5515 Old Meadow Rd
Charlotte, NC 28227-2677
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | 254774 (NC) |
| Critical Care Medicine Nurse Practitioner | 363LC0200X | 5012459 (NC) |
| Nurse Practitioner Primary | 363L00000X | 5012459 (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 1457994097
Jessica Leigh Mack, ACNP's National Provider Identifier is 1457994097, issued on Oct 27, 2019. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Winston Salem, NC. The record was last updated on Oct 29, 2019.