Individual
LISA MARIE JESSEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1754 US HIGHWAY 23 N, WEBER CITY, VA 24290-7071
(276) 386-5980
(276) 386-9387
Mailing address
PO BOX 9, KINGSPORT, TN 37662-0009
(423) 857-2066
(423) 857-2070
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
0024168750
VA
363LF0000X
Family Nurse Practitioner
Primary
0024168750
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1520727
—
TN
05
—
1891011235
—
VA
Enumeration date
04/09/2010
Last updated
08/26/2024
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