Male or Other

Michael Jessup FNP-C

Family Nurse Practitioner in Jber, AK(View on Map)

Full Name

Michael Jessup FNP-C

NPI Number

1699285635

NPI Type

Individual Provider

Gender

Male

Enumeration Date

10/04/2017

Specialties

(Taxonomies)

Code

363LF0000X
163WG0000X

Primary Taxonomy

Yes
No

Licenses

State

Florida
Florida

License Number

APRN11007310
RN9405402

Contact
Information

Purpose

Mailing
Location

Address

673 MDG/JB ELMENDORF-RICHARDSON
5955 ZEAMER AVE

City

Anchorage
Jber

State

AK
AK

Postal Code

99506
99506-3702

Country

US
US

Telephone Number

N/A
(079) 580-2030

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 06/13/2024

Provider Address

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