Individual
JOSEF BRENT JESSOP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
650 JOEL DR, FORT CAMPBELL, KY 42223-5318
(270) 798-8500
Mailing address
650 JOEL DR, FORT CAMPBELL, KY 42223-5318
(270) 798-8500
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
29497
NE
207P00000X
Emergency Medicine Physician
72643
TN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/20/2015
Last updated
06/18/2025
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