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Individual

MRS. BRENDA JESSEE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
495 EAST MAIN STREET, LEBANON, VA 24266-4510
(276) 889-3700
(276) 889-5505
Mailing address
1021 W OAKLAND AVE STE 310, JOHNSON CITY, TN 37604-2192
(423) 952-2111
(423) 282-1657

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0017000636
VA
363LF0000X
Family Nurse Practitioner
21969
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
010128625
VA
Enumeration date
10/20/2005
Last updated
01/28/2025
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