Provider Demographics
NPI:1922380534
Name:STEVE, JESSI MARRI (FNP)
Entity Type:Individual
Prefix:
First Name:JESSI
Middle Name:MARRI
Last Name:STEVE
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:170 MOUSE CREEK RD NW
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:TN
Mailing Address - Zip Code:37312-3840
Mailing Address - Country:US
Mailing Address - Phone:423-458-1426
Mailing Address - Fax:423-790-1276
Practice Address - Street 1:170 MOUSE CREEK RD NW
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:TN
Practice Address - Zip Code:37312-3840
Practice Address - Country:US
Practice Address - Phone:423-458-1426
Practice Address - Fax:423-790-1276
Is Sole Proprietor?:No
Enumeration Date:2011-09-10
Last Update Date:2022-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SDCP000659363LF0000X
TN16093363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily