MRS. EMILY TABOR JESSIE APRN NPI 1306204490

NPI Information

NPI: 1306204490
Provider Name: MRS. EMILY TABOR JESSIE, APRN
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Organization: T J HEALTH COLUMBIA INC

PECOS Registration: Yes

Address:
1084 VETERANS MEMORIAL HWY
SCOTTSVILLE, KY
ZIP 42164
Phone: (702) 373-1232
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MRS. Emily Tabor Jessie, APRN is a family nurse practitioner in Scottsville, KY with 9 years of experience. MRS. Emily Tabor Jessie, APRN NPI is 1306204490. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1084 VETERANS MEMORIAL HWY
SCOTTSVILLE, KY
ZIP 42164-602
Phone: (702) 373-1232
Fax: (270) 237-3139

The NPI 1306204490 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 2/3/2016 and was last updated on 4/12/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363L00000X	Nurse Practitioner		3010029	KENTUCKY	No
2	363LF0000X	Nurse Practitioner	Family	3010029	KENTUCKY	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	3010029	OTHER	KENTUCKY	KY LICENSE
2	7100474280	MEDICAID	KENTUCKY
3	F1215390	OTHER	KENTUCKY	AMERICAN ACADEMY OF NURSE PRACTITIONERS--FAMILY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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