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Jessica Bosworth

NPI 1154835577 · on the registry since 2017 · sole proprietor

Practice

Address
3415 Youngstown Dr
Fayetteville, NC 28303
Phone
(703) 447-0454

Registry record

Primary taxonomy
103TS0200X
103TS0200X
Also registered as
103TS0200X
103TS0200X
Licence states on file
NC, GA, VA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2017-11-21

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in North Carolina