Carissa J. Jessen in Omaha - Physician Assistant
Carissa J. Jessen - NPI 1629063920
Carissa J. Jessen is a Physician Assistant in Omaha, Nebraska. Carissa J. Jessen practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Carissa J. Jessen is 1629063920. The last update date is 2022-12-06.
Carissa J. Jessen's current location address is 987400 Nebraska Medical Ctr, Omaha, Nebraska. You can contact this provider via phone number 4025596673 and fax number 4025598333. The mailing address for Carissa J. Jessen is 987400 Nebraska Medical Ctr, Omaha, Nebraska. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Carissa J. Jessen |
|---|---|
| Address | 987400 Nebraska Medical Ctr, Omaha, Nebraska |
| Phone Number | 4025596673 |
| Fax Number | 4025598333 |
| Sole Proprietor | N |
| Credentials | P.A. |
NPI Number Detail
| NPI Number | 1629063920 |
|---|---|
| Provider Enumeration Date | 2005-09-13 |
| Last Updated Date | 2022-12-06 |
Provider Mailing Address Detail
| Address | 987400 Nebraska Medical Ctr |
|---|---|
| City | Omaha |
| State | Nebraska (NE) |
| Post Code | 681987400 |
| Phone Number | 4025596673 |
| Fax Number | 4025598333 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 1109 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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What is the Carissa J. Jessen's 1629063920?
The Carissa J. Jessen's NPI (National Provider Identifier) Number is 1629063920. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Where is the Carissa J. Jessen located?
The Carissa J. Jessen is located at 987400 Nebraska Medical Ctr, Omaha, NE 681987400.
What is the Carissa J. Jessen's specialty and taxonomy code?
The Carissa J. Jessen's specialty is Physician Assistant, and the corresponding taxonomy code is 363A00000X.
When was the Carissa J. Jessen's 1629063920 issued?
The Carissa J. Jessen's 1629063920 was issued on 2005-09-13.
When was the information pertaining to Carissa J. Jessen most recently updated or revised?
The details related to Carissa J. Jessen, including its address, specialty, and other relevant information, were last updated or revised on 2022-12-06.
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