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Jesse Self
Licensed Practical Nurse in Tupelo, Mississippi
NPI 1326716341

Jesse Self is a Licensed Practical Nurse based in Tupelo, MS. Jesse Self practices in Tupelo, MS. The NPI Number for Jesse Self is 1326716341 and holds a License No. 338751 (Mississippi).

The current practice location address for Jesse Self is 2434 S Eason Blvd, Tupelo, MS and can be reached out via phone at 662-640-4595. You can also correspond with Jesse Self through the mailing address at 2434 S EASON BLVD, TUPELO, MS - 38804-6942 (mailing address contact number: 662-640-4595).

Location: 2434 S Eason Blvd, Tupelo, MS, 38804-6942
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1326716341
Provider Name
Jesse Self
Credential
Provider Entity Type
Individual
Gender
Female
Address
2434 S Eason Blvd, Tupelo, MS, 38804-6942
Phone Number
662-640-4595
Fax Number
Provider Enumeration Date
09/03/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2434 S Eason Blvd
City
Tupelo
State
Mississippi
Zip
38804-6942
Phone Number
662-640-4595
Fax Number
person
Provider Business Mailing Address Details
Address
2434 S Eason Blvd
City
Tupelo
State
Mississippi
Zip
38804-6942
Phone Number
662-640-4595
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
338751 (Mississippi)
Definition
An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
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