Healthcare Provider Details

I. General information

NPI: 1952290348
Provider Name (Legal Business Name): JESSICA MARIE SOLA FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/30/2025
Last Update Date: 08/13/2026
Certification Date: 08/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1038 BETHANIA RURAL HALL RD
RURAL HALL NC
27045-9552
US

IV. Provider business mailing address

1038 BETHANIA RURAL HALL RD
RURAL HALL NC
27045-9552
US

V. Phone/Fax

Practice location:
  • Phone: 336-716-1315
  • Fax: 336-702-9313
Mailing address:
  • Phone: 336-716-1315
  • Fax: 336-702-9313

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number303203
License Number StateNC
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberF06261462
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: