Doctor Name: | JESSIE MEISER |
NPI Number: | 1013318088 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 1110443 |
Business Practice Address: | 801 N 29th St Paducah, KY - 420014056 |
Business Phone Number: | 2705563290 |
Business Fax Number: | |
Mailing Address: | 801 N 29th St, PADUCAH |
State: | KY |
Postal Code: | 420014056 |
Phone Number: | 2705563290 |
Fax Number: | |
NPI Enumeration Date: | 09/10/2014 |
NPI Last Update Date: | 09/10/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LP0200X |
License Number: | 1110443 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | KY |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Pediatrics |
Taxonomy Definition: |