Individual provider · Type 1 NPI

Jessica Provo, MD

Family Medicine Physician · Sandwich, MA

NPI number 1699121368 Active

Practice location

90 Route 6A Unit 5A
Sandwich, MA 02563-5301

Mailing address

PO Box 19305
Charlotte, NC 28219-9305

Other practice locations

  • 7420 Market St, Wilmington, NC 28411-9453 · (910) 686-2525
  • 2000 Brabham Ave, Jacksonville, NC 28546-0201 · (980) 376-3030
  • 1960 S 16th St, Wilmington, NC 28401-6676 · (910) 343-9991
  • 5145 S College Rd, Wilmington, NC 28412-2207 · (910) 792-1144
  • 1333 S Dickinson Dr, Leland, NC 28451-6430 · (910) 332-0241

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician Primary 207Q00000X2019-00724 (NC)

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

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About NPI 1699121368

Jessica Provo, MD's National Provider Identifier is 1699121368, issued on May 11, 2016. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Sandwich, MA. The record was last updated on Apr 22, 2025.