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NPI Code Detail

MEDICARE: MS. JESSICA J ONEILL PA

MEDICARE:  MS. JESSICA J ONEILL  PA
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
1363A00000XPhysician Assistant0010-03460NC

General Provider Information

NPI Number : 1689612442
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. JESSICA J ONEILL PA
Provider Business Mailing Address
First Line : 3700 BARRETT DR STE 200
Second Line :
City : RALEIGH
State : NC
Zip : 27609-7172
Country : US
Telephone Number : 919-231-3966
Fax Number : 919-231-3912
Provider Business Practice Location Address
First Line : 3700 BARRETT DR STE 200
Second Line :
City : RALEIGH
State : NC
Zip : 27609-7172
Country : US
Telephone Number : 919-231-3966
Fax Number : 919-231-3912
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/03/2006
Last Update Date : 02/12/2025

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Directions to “ MS. JESSICA J ONEILL PA” Practice Location

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