Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mrs. Jessica J. Doutaz, MS, AGNP

Individual provider Adult Health Nurse Practitioner · NPI 1194106674

Mrs. Jessica J. Doutaz, MS, AGNP is a Nurse Practitioner in Statesville, North Carolina. Qualified in 2015, 11 years ago. Practices with Piedmont Healthcare PA, a 223-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in North Carolina and South Carolina.

Years since qualifying
11
Licensed in
NC, SC
In the registry since
2015
Specialties on file
2
What do these letters mean?
MS — Master of Science
A graduate science degree.
AGNP — Adult-Gerontology Nurse Practitioner
A nurse practitioner focused on adults and older people.

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Practice location Address checks out

208 Old Mocksville Rd
Statesville, NC 28625-1953
Phone: (704) 838-8240
Fax: (704) 924-5360
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 805 W Wade Hampton Blvd Ste C, Greer, SC 29650-1311 — (864) 655-6615

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence 5021443 (NC)
Adult Health Nurse Practitioner Taxonomy 363LA2200X · Licence 24954 (SC)

Record details

NPI number1194106674
Entity typeIndividual (Type 1)
GenderFemale
Credentials MS , AGNP
Sole proprietorNo
NPI enumeratedJune 10, 2015
Last updated in NPPESFebruary 19, 2026
Certification dateFebruary 19, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Piedmont Healthcare Pa — 223 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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