Individual provider · NPI-1
Douglas Alan Jessup, RN
Registered Nurse, Case Management · Chesterfield, VA
NPI number1336399336
StatusActive
Last updated in NPPESSep 25, 2008
Details
- NPI
- 1336399336
- Entity type
- Individual (NPI-1)
- Name
- Mr. Douglas Alan Jessup
- Credential
- RN
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Sep 25, 2008
- Last updated
- Sep 25, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163WC0400X | Registered Nurse, Case Management | 0001183423 | VA | Yes |
Practice location
8242 Hampton Bluff TerChesterfield, VA 23832-2036
Phone 804-301-1259
Mailing address
8242 Hampton Bluff TerChesterfield, VA 23832-2036
Phone 804-301-1259
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