=====================================================
General NPI Number Information
=====================================================
NPI Number | 1194690206
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | JESSICA ANN BATTEN FNP-C
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 10/08/2025
-----------------------------------------------------
Last Update Date | 12/02/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 526 WALNUT ST
-----------------------------------------------------
City | ROANOKE RAPIDS
-----------------------------------------------------
State | NC
-----------------------------------------------------
Zip | 27870-1439
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 252-370-2759
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 526 WALNUT ST
-----------------------------------------------------
City | ROANOKE RAPIDS
-----------------------------------------------------
State | NC
-----------------------------------------------------
Zip | 27870-1439
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 252-535-8463
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 261QU0200X
-----------------------------------------------------
Taxonomy Name | Urgent Care Clinic/Center
-----------------------------------------------------
License Number | 5023551
-----------------------------------------------------
License Number State | NC
-----------------------------------------------------