Jessup, John N

Jessup, John N is an individual health care provider with primary practice located at 1000 E Genesee St Suite 300, Syracuse NY 13210-1892. He recently has 4 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Allopathic & Osteopathic Physicians / Adult Medicine, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Adult Health. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is his primary health care specialty. Jessup, John N can be contacted via phone (315) 471-1044.

Contact Information

Primary practice address
1000 E Genesee St Suite 300 Syracuse NY 13210-1892
Phone: (315) 471-1044
Fax: (315) 474-4312
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X F332697 New York
Allopathic & Osteopathic Physicians / Adult Medicine 207QA0505X F-332697 New York
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X F322697 New York
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X F332697 New York

Profile Details

NPI number 1649266800
LBN Legal business name Jessup, John N
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 23rd, 2005
Last updated Nov 9th, 2010 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1649266800 NPPES
New York MEDICAID 02146349

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