Individual
MICHAEL JESSUP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-C
Contact information
Practice address
5955 ZEAMER AVE, JBER, AK 99506-3702
(079) 580-2030
Mailing address
673 MDG/JB ELMENDORF-RICHARDSON, 5955 ZEAMER AVE, ANCHORAGE, AK 99506
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
RN9405402
FL
363LF0000X
Family Nurse Practitioner
Primary
APRN11007310
FL
Other
Enumeration date
10/04/2017
Last updated
06/13/2024
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