Jesse Self

Licensed Practical Nurse · Tupelo, MS

Individual Active NPI

NPI number 1326716341

Practice location

2434 S Eason Blvd
Tupelo, MS 38804-6942
Phone
(662) 640-4595

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NPI record

NPI
1326716341
Entity type
Individual (Type 1)
Enumeration date
September 3, 2021
Last updated
September 3, 2021
Certified
September 3, 2021
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Licensed Practical Nurse Primary 164W00000X 338751 MS

About Jesse Self

Jesse Self is a healthcare provider registered in the NPI registry with the primary taxonomy Licensed Practical Nurse (code 164W00000X). The practice location is 2434 S Eason Blvd, Tupelo, MS 38804-6942. The NPI number 1326716341 was assigned on September 3, 2021 and the record was last updated on September 3, 2021.

Jesse Self lists a license in the registry: #338751 (MS) for Licensed Practical Nurse. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Jesse Self?

The NPI number is 1326716341.

What is the phone number of Jesse Self?

The phone number listed for the practice location is (662) 640-4595.

Where is Jesse Self located?

2434 S Eason Blvd, Tupelo, MS 38804-6942.

What is the taxonomy code for Jesse Self?

The primary taxonomy code is 164W00000X – Licensed Practical Nurse.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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