Provider Demographics
NPI:1336698414
Name:JESSEE, BETHANY GIUDICI (CRNP)
Entity Type:Individual
Prefix:
First Name:BETHANY
Middle Name:GIUDICI
Last Name:JESSEE
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2017 OBRIG AVE
Mailing Address - Street 2:
Mailing Address - City:GUNTERSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35976-2156
Mailing Address - Country:US
Mailing Address - Phone:256-582-2324
Mailing Address - Fax:256-582-2321
Practice Address - Street 1:2017 OBRIG AVE
Practice Address - Street 2:
Practice Address - City:GUNTERSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35976-2156
Practice Address - Country:US
Practice Address - Phone:256-582-2324
Practice Address - Fax:256-582-2321
Is Sole Proprietor?:No
Enumeration Date:2016-09-29
Last Update Date:2023-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-139993363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily