Healthcare Provider Details

I. General information

NPI: 1548140924
Provider Name (Legal Business Name): ISABELLA ROSE SESSOMS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/05/2025
Last Update Date: 09/05/2025
Certification Date: 09/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

44 SHUCKIN ST UNIT 105
HAMPSTEAD NC
28443-8731
US

IV. Provider business mailing address

4101 PURVIANCE CT
WILMINGTON NC
28409-3530
US

V. Phone/Fax

Practice location:
  • Phone: 910-599-2230
  • Fax:
Mailing address:
  • Phone: 910-508-7433
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: