Individual
MR. JESSE ROBERT MCALLISTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
4000 COAST GUARD BLVD, PORTSMOUTH, VA 23703-2135
(757) 483-8596
Mailing address
4000 COAST GUARD BLVD, PORTSMOUTH, VA 23703-2135
(757) 483-8422
(757) 686-2122
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
5601005681
MI
363A00000X
Physician Assistant
Primary
9105921
FL
Other
Enumeration date
10/27/2009
Last updated
10/22/2024
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