Individual
MADELYN MARIE JESSUP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
445 WARFIELD BOULEVARD CT APT A203, CLARKSVILLE, TN 37043-3167
(616) 835-3777
Mailing address
445 WARFIELD BOULEVARD CT APT A203, CLARKSVILLE, TN 37043-3167
(616) 835-3777
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
8987
TN
Other
Enumeration date
08/13/2025
Last updated
08/13/2025
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