Provider Demographics
NPI: | 1295952273 |
---|---|
Name: | JESSING, TENA LOUISE (PHARM D) |
Entity type: | Individual |
Prefix: | DR |
First Name: | TENA |
Middle Name: | LOUISE |
Last Name: | JESSING |
Suffix: | |
Gender: | F |
Credentials: | PHARM D |
Other - Prefix: | |
Other - First Name: | |
Other - Middle Name: | |
Other - Last Name: | |
Other - Suffix: | |
Other - Last Name Type: | |
Other - Credentials: | |
Mailing Address - Street 1: | 228 ALGONQUIN TRL |
Mailing Address - Street 2: | |
Mailing Address - City: | SOMERSET |
Mailing Address - State: | KY |
Mailing Address - Zip Code: | 42501-3250 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 606-451-8270 |
Mailing Address - Fax: | 606-354-7163 |
Practice Address - Street 1: | 330 FEDERAL WAY |
Practice Address - Street 2: | |
Practice Address - City: | PINE KNOT |
Practice Address - State: | KY |
Practice Address - Zip Code: | 42635-7000 |
Practice Address - Country: | US |
Practice Address - Phone: | 606-354-7161 |
Practice Address - Fax: | 606-354-7163 |
Is Sole Proprietor?: | No |
Enumeration Date: | 2007-04-19 |
Last Update Date: | 2007-07-08 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Licenses
State | License ID | Taxonomies |
---|---|---|
KY | 1059183 | 163W00000X, 163WA2000X, 163WC1600X, 163WL0100X, 163WN1003X, 163WP0808X, 163WP2201X, 163WS0200X |
KY | 011435 | 183500000X, 1835G0303X, 1835N0905X, 1835N1003X, 1835P1200X, 1835P1300X, 1835X0200X |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization |
---|---|---|---|---|
Not Answered | 163W00000X | Nursing Service Providers | Registered Nurse | |
Not Answered | 163WA2000X | Nursing Service Providers | Registered Nurse | Administrator |
Not Answered | 163WC1600X | Nursing Service Providers | Registered Nurse | Continuing Education/Staff Development |
Not Answered | 163WL0100X | Nursing Service Providers | Registered Nurse | Lactation Consultant |
Not Answered | 163WN1003X | Nursing Service Providers | Registered Nurse | Nutrition Support |
Not Answered | 163WP0808X | Nursing Service Providers | Registered Nurse | Psychiatric/Mental Health |
Not Answered | 163WP2201X | Nursing Service Providers | Registered Nurse | Ambulatory Care |
Not Answered | 163WS0200X | Nursing Service Providers | Registered Nurse | School |
Not Answered | 183500000X | Pharmacy Service Providers | Pharmacist | |
Not Answered | 1835G0303X | Pharmacy Service Providers | Pharmacist | Geriatric |
Not Answered | 1835N0905X | Pharmacy Service Providers | Pharmacist | Nuclear |
Not Answered | 1835N1003X | Pharmacy Service Providers | Pharmacist | Nutrition Support |
Not Answered | 1835P1200X | Pharmacy Service Providers | Pharmacist | Pharmacotherapy |
Not Answered | 1835P1300X | Pharmacy Service Providers | Pharmacist | Psychiatric |
Not Answered | 1835X0200X | Pharmacy Service Providers | Pharmacist | Oncology |