Individual
JAMEY C JESSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1720 UNIVERSITY DR S, FARGO, ND 58103-4940
(701) 280-4140
Mailing address
1720 UNIVERSITY DR S, FARGO, ND 58103-4940
(701) 280-4140
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
10790
ND
207Q00000X
Family Medicine Physician
50415
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
14574
—
ND
05
—
233460000
—
MN
Enumeration date
06/05/2006
Last updated
11/21/2011
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