Provider Demographics
NPI:1154101772
Name:MCCURRY, JESSICA LINDSEY
Entity type:Individual
Prefix:
First Name:JESSICA
Middle Name:LINDSEY
Last Name:MCCURRY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 33
Mailing Address - Street 2:
Mailing Address - City:SAPPHIRE
Mailing Address - State:NC
Mailing Address - Zip Code:28774-0033
Mailing Address - Country:US
Mailing Address - Phone:864-633-4228
Mailing Address - Fax:
Practice Address - Street 1:18147 ROSMAN HWY
Practice Address - Street 2:
Practice Address - City:SAPPHIRE
Practice Address - State:NC
Practice Address - Zip Code:28774
Practice Address - Country:US
Practice Address - Phone:864-366-4228
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-10-02
Last Update Date:2023-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician