Provider Demographics
NPI:1780354068
Name:SACHS, JESSIE (NP)
Entity type:Individual
Prefix:MRS
First Name:JESSIE
Middle Name:
Last Name:SACHS
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8316 PINEVILLE MATTHEWS RD STE 803
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28226-4754
Mailing Address - Country:US
Mailing Address - Phone:980-296-2833
Mailing Address - Fax:
Practice Address - Street 1:8316 PINEVILLE MATTHEWS RD STE 803
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28226-4754
Practice Address - Country:US
Practice Address - Phone:980-296-2833
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-09-17
Last Update Date:2021-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5013083363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner