Healthcare Provider Details

I. General information

NPI: 1609118793
Provider Name (Legal Business Name): JESSICA CATHERINE SCHWARTZ
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/26/2013
Last Update Date: 06/23/2026
Certification Date: 06/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5832 FAYETTEVILLE RD STE 113
DURHAM NC
27713-6690
US

IV. Provider business mailing address

5832 FAYETTEVILLE RD STE 113
DURHAM NC
27713-6690
US

V. Phone/Fax

Practice location:
  • Phone: 919-544-2049
  • Fax: 919-544-2468
Mailing address:
  • Phone: 919-544-2049
  • Fax: 919-544-2468

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number2016-00968
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: