Jessie Roberts Fudge in Everett - Sports Medicine
Jessie Roberts Fudge - NPI 1386830610
Jessie Roberts Fudge is a Sports Medicine in Everett, Washington. Jessie Roberts Fudge practices all healthcare services and medical treatments related to Sports Medicine. The NPI Number for Jessie Roberts Fudge is 1386830610. The last update date is 2021-04-07.
Jessie Roberts Fudge's current location address is 2930 Maple Street, Everett, Washington. You can contact this provider via phone number 4255023600. The mailing address for Jessie Roberts Fudge is 2930 Maple Street, Everett, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jessie Roberts Fudge |
|---|---|
| Address | 2930 Maple Street, Everett, Washington |
| Phone Number | 4255023600 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1386830610 |
|---|---|
| Provider Enumeration Date | 2007-09-20 |
| Last Updated Date | 2021-04-07 |
Provider Mailing Address Detail
| Address | 2930 Maple Street |
|---|---|
| City | Everett |
| State | Washington (WA) |
| Post Code | 98201 |
| Phone Number | 4255023600 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Sports Medicine |
|---|---|
| Taxonomy | 207Qs0010X |
| Licence No | MD 60141711 |
|
Definition: A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must |
|
Post Comment/ Review Below
What is the Jessie Roberts Fudge's 1386830610?
The Jessie Roberts Fudge's NPI (National Provider Identifier) Number is 1386830610. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Where is the Jessie Roberts Fudge located?
The Jessie Roberts Fudge is located at 2930 Maple Street, Everett, WA 98201.
What is Jessie Roberts Fudge's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Jessie Roberts Fudge is Sports Medicine, and the taxonomy code that classifies this field of practice is 207Qs0010X.
When was the Jessie Roberts Fudge's 1386830610 issued?
The Jessie Roberts Fudge's 1386830610 was issued on 2007-09-20.
As of what date was the information pertaining to Jessie Roberts Fudge, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Jessie Roberts Fudge, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2021-04-07.
NPI Number: 1932102142
Address: St. Jude Children's Research Hospital, Memphis, TN