Provider Demographics
NPI:1649606963
Name:TESSON, JANE ALDEN (NP)
Entity type:Individual
Prefix:MS
First Name:JANE
Middle Name:ALDEN
Last Name:TESSON
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4206 PINE BARK TRL
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27705-7328
Mailing Address - Country:US
Mailing Address - Phone:703-408-0893
Mailing Address - Fax:
Practice Address - Street 1:115 CRESCENT COMMONS DRIVE
Practice Address - Street 2:SUITE 200
Practice Address - City:CARY
Practice Address - State:NC
Practice Address - Zip Code:27518-6849
Practice Address - Country:US
Practice Address - Phone:919-851-5055
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-09-18
Last Update Date:2018-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC233116363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily