Gesmond, Jessie R

Gesmond, Jessie R is an individual health care provider with primary practice located at 8901 University Blvd , N Charleston SC 29406-9116. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Gesmond, Jessie R can be contacted via phone (843) 203-2245.

Contact Information

Primary practice address
8901 University Blvd N Charleston SC 29406-9116
Phone: (843) 203-2245
Fax: (843) 203-2244
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 19105 South Carolina

Profile Details

NPI number 1912300179
LBN Legal business name Gesmond, Jessie R
Credentials APRN, FNP
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 2nd, 2014
Last updated Sep 28th, 2016 - about 10 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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Identifiers

StateTypeNumberIssuer
All States NPI 1912300179 NPPES
South Carolina MEDICAID NP2974

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