IndividualActive
Jennifer Thiessen, FNP-C
NPI 1417412792 · Addiction Medicine (Family Medicine) Physician · Kitty Hawk, NC
Provider details
- NPI number
- 1417412792
- Entity type
- Individual
- Primary specialty
- Addiction Medicine (Family Medicine) PhysicianAllopathic & Osteopathic Physicians
- Credential
- FNP-C
- Sex
- Female
- Sole proprietor
- Yes
- License
- 5012458 (NC)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
6345 N Croatan Hwy
Kitty Hawk, NC 27949-3887
Phone: (252) 715-4466
Fax: (252) 715-4468
Approximate (ZIP-level) locationGet directions
Mailing address
6345 N Croatan Hwy Ste 201
Kitty Hawk, NC 27949-3887
Registry dates
- Enumerated
- 2019-01-31
- Last updated
- 2023-03-30
- Certified
- 2023-03-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.