Individual
MISTY AUTUMN JESSOP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
35448 2ND ST, WENDEN, AZ 85357
(816) 284-2682
Mailing address
35448 2ND, WENDEN, AZ 85357
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN174536
AZ
Other
Enumeration date
04/10/2026
Last updated
04/10/2026
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