Nicholas Edward Jessup
Technician, Other in Austin, TX. Individual provider (NPI-1).
NPI number1346853280
StatusActive
Last updated in NPPESAug 29, 2020
Details
- NPI
- 1346853280
- Entity type
- Individual (NPI-1)
- Name
- Nicholas Edward Jessup
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 29, 2020
- Certification date
- Aug 29, 2020
- Last updated
- Aug 29, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 247200000X | Technician, Other | – | – | Yes |
Practice location
3403b Garden Villa LnAustin, TX 78704-6915
Phone 855-832-6727 · Fax 772-675-9100
Mailing address
7108 S Kanner HwyStuart, FL 34997-7462
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