Self, Jesse

Self, Jesse is an individual health care provider with primary practice located at 2434 S Eason Blvd , Tupelo MS 38804-6942. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Self, Jesse can be contacted via phone (662) 640-4595.

Contact Information

Primary practice address
2434 S Eason Blvd Tupelo MS 38804-6942
Phone: (662) 640-4595
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X 338751 Mississippi

Profile Details

NPI number 1326716341
LBN Legal business name Self, Jesse
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 3rd, 2021
Last updated Sep 3rd, 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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