Individual
AMANDA NICOLE JESSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3104 BLUE LAKE DR STE 110, VESTAVIA, AL 35243-2372
(205) 977-1949
Mailing address
5007 NATALIE WAY, TRUSSVILLE, AL 35173-1197
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
1-144029
AL
Other
Enumeration date
05/01/2024
Last updated
02/11/2025
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