Doctor Name: | JEAN KESLER VUKOSON |
NPI Number: | 1023233020 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RN, FNP |
License Number: | 50270 |
Business Practice Address: | 300 W Tryon St Hillsborough, NC - 272782438 |
Business Phone Number: | 9192452403 |
Business Fax Number: | |
Mailing Address: | 818 Farrington Point Rd, CHAPEL HILL |
State: | NC |
Postal Code: | 275178052 |
Phone Number: | 9193633834 |
Fax Number: | |
NPI Enumeration Date: | 04/16/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 50270 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |