Provider Demographics
NPI:1063469088
Name:ANGE, JESSICA K (MD)
Entity Type:Individual
Prefix:DR
First Name:JESSICA
Middle Name:K
Last Name:ANGE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:430 FISHER CREEK RD
Mailing Address - Street 2:
Mailing Address - City:SYLVA
Mailing Address - State:NC
Mailing Address - Zip Code:28779-7700
Mailing Address - Country:US
Mailing Address - Phone:828-586-4012
Mailing Address - Fax:828-586-5162
Practice Address - Street 1:430 FISHER CREEK RD
Practice Address - Street 2:
Practice Address - City:SYLVA
Practice Address - State:NC
Practice Address - Zip Code:28779-7700
Practice Address - Country:US
Practice Address - Phone:828-586-4012
Practice Address - Fax:828-586-5162
Is Sole Proprietor?:No
Enumeration Date:2006-05-27
Last Update Date:2011-12-05
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IN01059501A207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine