Individual
VICKI L JESSOP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1900 23RD ST, PAIN MEDICINE, CUYAHOGA FALLS, OH 44223-1404
(330) 971-7246
(330) 971-7256
Mailing address
1900 23RD ST, PAIN MEDICINE, CUYAHOGA FALLS, OH 44223-1404
(330) 971-7246
(330) 971-7256
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
COA.15613-NP
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0098159
—
OH
Enumeration date
01/31/2014
Last updated
03/05/2015
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