Dr. Joseph A Jestus, M.D.
Neurological Surgery in Cookeville, TN. Individual provider (NPI-1).
NPI number1265411151
StatusActive
Last updated in NPPESOct 10, 2022
Details
- NPI
- 1265411151
- Entity type
- Individual (NPI-1)
- Name
- Dr. Joseph A Jestus
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jan 10, 2006
- Certification date
- Oct 10, 2022
- Last updated
- Oct 10, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207T00000X | Neurological Surgery | 29172 | TN | Yes |
Practice location
105 S Willow AveSuite 200
Cookeville, TN 38501-3138
Phone 931-372-7716 · Fax 931-525-1066
Mailing address
105 S Willow AveCookeville, TN 38501-4667
Phone 931-372-7716 · Fax 931-526-9518
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