Individual
KATHERINE ELIZABETH JESSUP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1111 N CAUSEWAY BLVD, MANDEVILLE, LA 70471-3409
(985) 674-4464
Mailing address
28644 VENETTE CT, MADISONVILLE, LA 70447-3220
(985) 674-4464
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
237792
LA
Other
Enumeration date
11/03/2025
Last updated
11/10/2025
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