Provider Demographics
NPI:1669753448
Name:HUBER, JESSICA MARIE (ANP)
Entity type:Individual
Prefix:MS
First Name:JESSICA
Middle Name:MARIE
Last Name:HUBER
Suffix:
Gender:F
Credentials:ANP
Other - Prefix:MS
Other - First Name:JESSICA
Other - Middle Name:MARIE
Other - Last Name:BARNETTE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2455 GOLDEN FOREST DR
Mailing Address - Street 2:
Mailing Address - City:FRANKLINTON
Mailing Address - State:NC
Mailing Address - Zip Code:27525-7113
Mailing Address - Country:US
Mailing Address - Phone:919-632-0695
Mailing Address - Fax:919-681-6690
Practice Address - Street 1:DUMC 3704
Practice Address - Street 2:DEPARTMENT OF SURGERY
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27710
Practice Address - Country:US
Practice Address - Phone:919-681-2425
Practice Address - Fax:919-681-7163
Is Sole Proprietor?:No
Enumeration Date:2011-09-07
Last Update Date:2018-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCA0711135363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health