JESSICA BRYS-WILSON PAC NPI 1356301105

NPI Information

NPI: 1356301105
Provider Name: JESSICA BRYS-WILSON, PAC
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

Address:
10589 E NC 97
ROCKY MOUNT, NC
ZIP 27803
Phone: (252) 442-1807
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Jessica Brys-wilson, PAC is a medical physician assistant in Rocky Mount, NC. Jessica Brys-wilson, PAC NPI is 1356301105. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

10589 E NC 97
ROCKY MOUNT, NC
ZIP 27803-208
Phone: (252) 442-1807
Fax: (252) 442-1649

The enumeration date for this NPI number is 3/24/2006 and was last updated on 4/11/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AM0700X	Physician Assistant	Medical	001000252	NORTH CAROLINA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	7708741	OTHER	NORTH CAROLINA	AETNA ID
2	P00335449	MEDICARE PIN	NORTH CAROLINA
3	213660	OTHER	NORTH CAROLINA	MEDCOST ID
4	416456	OTHER	NORTH CAROLINA	WELLPATH ID
5	Q64082	MEDICARE UPIN	NORTH CAROLINA
6	2765592	MEDICARE PIN	NORTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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