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Individual

CYNTHIA JESSEE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CPNP

Contact information

Practice address
190 BEECH ST, SUITE 102, GATE CITY, VA 24251-3623
(276) 386-1312
(276) 386-2116
Mailing address
190 BEECH ST, SUITE 102, GATE CITY, VA 24251-3623
(276) 386-1312
(276) 386-2116

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
002416575
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
010162203
VA
Enumeration date
08/03/2006
Last updated
11/14/2008
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