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Jessica Provo, MD
Family Medicine Physician in Leland, North Carolina
NPI 1699121368

Jessica Provo is a Family Medicine Physician based in Charlotte, NC. Jessica Provo practices in Leland, NC and has the professional credentials of MD. The NPI Number for Jessica Provo is 1699121368 and holds a License No. 2019-00724 (North Carolina).

The current practice location address for Jessica Provo is 1333 S Dickinson Dr, Leland, NC and can be reached out via phone at 910-332-0241.

Location: 1333 S Dickinson Dr, Leland, NC, 28219-9305
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1699121368
Provider Name
Jessica Provo
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
1333 S Dickinson Dr, Leland, NC, 28219-9305
Phone Number
910-332-0241
Fax Number
Provider Enumeration Date
05/11/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1333 S Dickinson Dr
City
Leland
State
North Carolina
Zip
28451-6430
Phone Number
910-332-0241
Fax Number
person
Provider Business Mailing Address Details
Address
1333 S Dickinson Dr
City
Leland
State
North Carolina
Zip
28451-6430
Phone Number
910-332-0241
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
2019-00724 (North Carolina)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
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