MEDICARE: JESSICA J CURCIO NMD

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	175F00000X	Naturopath	05871	AZ
2	363A00000X	Physician Assistant	0010-09596	NC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	0010-09596	OTHER	NC	PA STATE LICENCE

General Provider Information

NPI Number	:	1811021298
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JESSICA J CURCIO NMD

Provider Business Mailing Address
First Line	:	300 MEADOWMONT VILLAGE CIR STE 300
Second Line	:
City	:	CHAPEL HILL
State	:	NC
Zip	:	27517-7518
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	300 MEADOWMONT VILLAGE CIR
Second Line	:
City	:	CHAPEL HILL
State	:	NC
Zip	:	27517-7518
Country	:	US
Telephone Number	:	984-974-5662
Fax Number	:

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

Provider Enumeration Date	:	03/15/2007
Last Update Date	:	02/24/2024

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