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Jessica Petty, IDC
NPI 1407113111 · Independent Duty Corpsman · Jacksonville, NC
Jessica Petty, IDC is a Independent Duty Corpsman provider in Jacksonville, NC (NPI 1407113111).
Provider details
- NPI number
- 1407113111
- Entity type
- Individual
- Primary specialty
- Independent Duty CorpsmanOther Service Providers
- Credential
- IDC
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Other Service Providers
Profile Score
Established profile(73/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
194 Maready Rd
Jacksonville, NC 28546-9332
Phone: (904) 240-9350
Street-level locationGet directions
Mailing address
Psc Box 20125
Camp Lejeune, NC 28542-0125
Registry dates
- Enumerated
- 2012-04-19
- Last updated
- 2012-04-19
Frequently asked questions
- What is Jessica Petty's NPI number?
- Jessica Petty's National Provider Identifier (NPI) is 1407113111, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jessica Petty's specialty?
- Jessica Petty is listed in the NPPES registry with a primary specialty of Independent Duty Corpsman (Other Service Providers).
- Where is Jessica Petty located?
- Jessica Petty's practice location on file with NPPES is 194 Maready Rd, Jacksonville, NC 28546-9332.
- What is Jessica Petty's phone number?
- The practice phone number listed in the NPPES registry for Jessica Petty is (904) 240-9350.
- Is Jessica Petty's NPI active?
- Yes — Jessica Petty's NPI (1407113111) is active in the NPPES registry as of the last update on 2012-04-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.