Individual
MRS. WILLIE MAE M JESSOP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CFNP
Contact information
Practice address
215 E 5TH STREET, WOOLFOLK SCHOOL-BASED CLINIC GA CARMICHAEL FAMILY HEALT, YAZOO CITY, MS 39194
(662) 716-0691
(662) 716-0689
Mailing address
6105 KAY BROOK DRIVE, BYRAM, MS 39272-9660
(601) 346-4303
(662) 716-0689
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R107300
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0118259
—
MS
Enumeration date
11/17/2006
Last updated
07/08/2007
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