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JENNIFER THIESSEN FNP-C
NPI 1417412792
Family Medicine - Addiction Medicine in Kitty Hawk, NC

Active since January 31, 2019
6345 N CROATAN HWY, KITTY HAWK, NC 27949(252) 715-4466(252) 715-4468 Get Directions Write a Review

NPPES record last updated: March 30, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 30, 2023, Feb 4, 2021, Jan 31, 2019 (3 updates tracked since 2019).

About Jennifer Thiessen Fnp-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JENNIFER THIESSEN FNP-C (NPI 1417412792) is an individual addiction medicine provider in Kitty Hawk, North Carolina, licensed in North Carolina (5012458) and active in the NPI registry since January 2019.

NPPES Registry Identity

NPI1417412792
Entity TypeIndividualFemale
Primary Taxonomy207QA0401X
Provider Legal NameJENNIFER THIESSENCredential: FNP-C
Location Address6345 N CROATAN HWYKitty Hawk, NC 27949-3887
Mailing Address6345 N Croatan Hwy Ste 201Kitty Hawk, NC 27949-3887 · (252) 715-4466 · Fax (252) 715-4468
Phone(252) 715-4466
Fax(252) 715-4468
Sole ProprietorYes
Enumeration DateJanuary 31, 2019
Last NPPES UpdateMarch 30, 20233 updates tracked since enumeration
NPPES CertifiedMarch 30, 2023
✔ NPI 1417412792 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Addiction MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QA0401X
License✔ Licensed in NC · 5012458
Definition
A family medicine physician who specializes in the diagnosis and treatment of addictions.
6345 N CROATAN HWY, Kitty Hawk, NC 27949
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jennifer Thiessen's NPI number?

The NPI number for Jennifer Thiessen is 1417412792. It was assigned to this individual provider in the NPPES registry on January 31, 2019.

Where is Jennifer Thiessen located?

Jennifer Thiessen practices at 6345 N Croatan Hwy, Kitty Hawk, NC 27949. The listed phone number is (252) 715-4466.

What is Jennifer Thiessen's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Addiction Medicine, with taxonomy code 207QA0401X.

When was this NPI record last updated?

The NPPES record for Jennifer Thiessen was last updated on March 30, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.