Leah Jessee, FNP
Individual provider Active NPI Nurse Practitioner · Grundy, VA
NPI 1861962425 · NPPES record last updated Nov 27, 2018
Key facts
- NPI
- 1861962425
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- 0024176390 (VA)
- Practice address
- 1107 Riverview Street
Grundy, VA 24614 - Phone
- (276) 244-1557
- NPI assigned
- Nov 27, 2018
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0024176390 | VA | MD | Nurse Practitioner |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 0024176390 | VA | Yes |
Addresses
Primary practice location
1107 Riverview Street
Grundy, VA 24614
Mailing address
1107 Riverview Street
Grundy, VA 24614
Other providers in Grundy, VA
- Leslie Hrovatic
- Alexandra Louise Hurley
- Holly Hurley
- Tammy Hurley
- Bradley Hutchinson
- Joshua P Sutherland Jr PC
- Tabatha L Justus
- Juanita Keen
- Candace P Kelly
- Leighton Eugene Lawrence
All providers in Grundy, VA · Nurse Practitioner in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 27, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.