Individual
ALICE JESSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPRS
Contact information
Practice address
261 NORTH ST, BRISTOL, VA 24201-3275
(423) 518-2061
Mailing address
1340 BELMEADE DR, KINGSPORT, TN 37664-2002
(423) 963-2990
(423) 963-2990
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
0735001337
VA
Other
Enumeration date
07/01/2025
Last updated
07/01/2025
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