Provider Demographics
NPI:1316405954
Name:DOLLYHIGH-EASTER, JENNIFER ALICE (FNP)
Entity Type:Individual
Prefix:
First Name:JENNIFER
Middle Name:ALICE
Last Name:DOLLYHIGH-EASTER
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1815 OLD HIGHWAY 601
Mailing Address - Street 2:
Mailing Address - City:MOUNT AIRY
Mailing Address - State:NC
Mailing Address - Zip Code:27030-8345
Mailing Address - Country:US
Mailing Address - Phone:919-616-8821
Mailing Address - Fax:
Practice Address - Street 1:755 S STATE ST
Practice Address - Street 2:
Practice Address - City:YADKINVILLE
Practice Address - State:NC
Practice Address - Zip Code:27055-7756
Practice Address - Country:US
Practice Address - Phone:336-849-4171
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-03-02
Last Update Date:2019-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5011491363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily