Individual provider · Type 1 NPI

Jesse Enterline Baccus

Nurse Practitioner · Elizabeth City, NC

NPI number 1760101646 Active

Practice location

100 Medical Dr
Elizabeth City, NC 27909-3361

Call (252) 384-2600 Map

Mailing address

600 Moye Blvd
Greenville, NC 27834-4300

Other practice locations

  • 600 Moye Blvd, Greenville, NC 27834-4300 · (252) 744-6478

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Nurse Practitioner Primary 363L00000X5020391 (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 1760101646

Jesse Enterline Baccus's National Provider Identifier is 1760101646, issued on Aug 24, 2022. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Elizabeth City, NC. The record was last updated on Aug 12, 2024.