Jeanette Elizabeth Wilson Defelice, FNP-BC
Nurse Practitioner, Family in Burlington, NC. Individual provider (NPI-1).
NPI number1972807790
StatusActive
Last updated in NPPESSep 27, 2021
Details
- NPI
- 1972807790
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Jeanette Elizabeth Wilson Defelice
- Credential
- FNP-BC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 8, 2011
- Certification date
- Sep 27, 2021
- Last updated
- Sep 27, 2021
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - NURSE PRACTITIONER
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 5005058 | NC | Yes |
Practice location
1240 Huffman Mill RoadBurlington, NC 27215-8700
Phone 336-538-8471 · Fax 336-538-8161
Mailing address
Po Box 602598Charlotte, NC 28260-2598
Phone 336-716-2255
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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