Individual provider · Type 1 NPI

Jalysa Gavin, FNP-C

Family Nurse Practitioner · Goldsboro, NC

NPI number 1972154318 Active

Practice location

204 Malloy St Ste A
Goldsboro, NC 27534-4477

Call (919) 751-7665 Map

Mailing address

2905 Oakwood Dr
Winterville, NC 28590-8067

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X5012334 (NC)

Family Nurse Practitioner: Definition to come...

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About NPI 1972154318

Jalysa Gavin, FNP-C's National Provider Identifier is 1972154318, issued on Sep 26, 2019. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Goldsboro, NC. The record was last updated on Sep 26, 2019.