Individual
JESSE LEAH KESON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1465 E PARKDALE AVE, MANISTEE, MI 49660-9709
(231) 398-1000
Mailing address
11279 QUARTERLINE RD, MANISTEE, MI 49660
(231) 690-6235
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704292299
MI
Other
Enumeration date
04/10/2019
Last updated
04/10/2019
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