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NPI Code Detail

MEDICARE: DR. JESSICA TRICHE MD

MEDICARE:  DR. JESSICA  TRICHE  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician141429NC
2207Q00000XFamily Medicine Physician2009-01226NC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
202723OTHERNCBCBS

General Provider Information

NPI Number : 1386847309
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JESSICA TRICHE MD
Provider Business Mailing Address
First Line : PO BOX 751069
Second Line :
City : CHARLOTTE
State : NC
Zip : 28275-1069
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 101 HEART DR
Second Line :
City : GREENVILLE
State : NC
Zip : 27834-8982
Country : US
Telephone Number : 252-744-4611
Fax Number : 252-816-0762
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/07/2007
Last Update Date : 10/22/2025

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Directions to “ DR. JESSICA TRICHE MD” Practice Location

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