Healthcare Provider Details

I. General information

NPI: 1033897798
Provider Name (Legal Business Name): JESSICA KESLER STEPPS DNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: JESSICA L KESLER

II. Dates (important events)

Enumeration Date: 07/11/2023
Last Update Date: 07/18/2023
Certification Date: 07/18/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

249 E NC HIGHWAY 54 STE 330
DURHAM NC
27713-2490
US

IV. Provider business mailing address

608 TIMBER MEADOW LAKE DR
FUQUAY VARINA NC
27526-4986
US

V. Phone/Fax

Practice location:
  • Phone: 919-251-9223
  • Fax:
Mailing address:
  • Phone: 252-327-0217
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number5018478
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: