Jessop, Willie Mae M

Jessop, Willie Mae M is an individual health care provider with primary practice located at 215 E 5Th Street Woolfolk School-Based Clinic Ga Carmichael Family Healt, Yazoo City MS 39194. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Jessop, Willie Mae M can be contacted via phone (662) 716-0691.

Contact Information

Primary practice address
215 E 5Th Street Woolfolk School-Based Clinic Ga Carmichael Family Healt Yazoo City MS 39194
Phone: (662) 716-0691
Fax: (662) 716-0689
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X R107300 Mississippi

Profile Details

NPI number 1952475642
LBN Legal business name Jessop, Willie Mae M
Credentials Certified Family Nurse Practitioner (CFNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 17th, 2006
Last updated Jul 8th, 2007 - about 19 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 1952475642 NPPES
Mississippi MEDICAID 0118259

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