MEDICARE: JESSICA NEIKIRK DC

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
1	111N00000X	Chiropractor	5343	NC

General Provider Information

NPI Number	:	1770150187
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JESSICA NEIKIRK DC

Provider Business Mailing Address
First Line	:	9708 KINCEY AVE
Second Line	:	APT 119
City	:	HUNTERSVILLE
State	:	NC
Zip	:	28078-9144
Country	:	US
Telephone Number	:	575-693-7799
Fax Number	:

Provider Business Practice Location Address
First Line	:	19722 ONE NORMAN BLVD STE 210
Second Line	:
City	:	CORNELIUS
State	:	NC
Zip	:	28031-5911
Country	:	US
Telephone Number	:	980-689-2499
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/06/2021
Last Update Date	:	11/09/2021

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Directions to “ JESSICA NEIKIRK DC” Practice Location

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