Fudge, Jessie Roberts

Fudge, Jessie Roberts is an individual health care provider with primary practice located at 2930 Maple St , Everett WA 98201-3832. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is her primary health care specialty. Fudge, Jessie Roberts can be contacted via phone (425) 502-3600.

Contact Information

Primary practice address
2930 Maple St Everett WA 98201-3832
Phone: (425) 502-3600
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD 60141711 Washington
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X MD 60141711 Washington

Profile Details

NPI number 1386830610
LBN Legal business name Fudge, Jessie Roberts
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2007
Last updated Apr 7th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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