Healthcare Provider Details

I. General information

NPI: 1164198354
Provider Name (Legal Business Name): JESSYCA NAEGELE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/18/2021
Last Update Date: 09/18/2026
Certification Date: 09/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

77 VILCOM CENTER DR STE 300
CHAPEL HILL NC
27514-1875
US

IV. Provider business mailing address

DEPARTMENT OF PSYCHIATRY CAMPUS BOX 7160
CHAPEL HILL NC
27599-0001
US

V. Phone/Fax

Practice location:
  • Phone: 984-974-5217
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number2026-05004
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: