Individual
IRIS RAMONA JESSUP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
IC-856
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2926-S
BOARD SOCIAL WORK LICENSE NUMBER
NV
01
—
IC-856
SOCIAL WORK CSW NUMBER
NV
Enumeration date
09/03/2014
Last updated
09/03/2014
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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