| Doctor Name: | JOHN EMMETT FESPERMAN |
| NPI Number: | 1013096981 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | FNP |
| License Number: | 118583/201786 |
| Business Practice Address: | 380 Parkwood Medical Park Elkin, NC - 28621 |
| Business Phone Number: | 3368359355 |
| Business Fax Number: | 3368358581 |
| Mailing Address: | Po Box 249, YADKINVILLE |
| State: | NC |
| Postal Code: | 270550249 |
| Phone Number: | 3366794963 |
| Fax Number: | 3366792549 |
| NPI Enumeration Date: | 11/03/2006 |
| NPI Last Update Date: | 03/30/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 118583/201786 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NC |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |