Provider Demographics
NPI:1649790189
Name:TSE, JESSICA M (DO)
Entity type:Individual
Prefix:
First Name:JESSICA
Middle Name:M
Last Name:TSE
Suffix:
Gender:F
Credentials:DO
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Mailing Address - Street 1:439 EDWARDS ACCESS RD
Mailing Address - Street 2:
Mailing Address - City:EDWARDS
Mailing Address - State:CO
Mailing Address - Zip Code:81632-5634
Mailing Address - Country:US
Mailing Address - Phone:970-445-2489
Mailing Address - Fax:
Practice Address - Street 1:439 EDWARDS ACCESS RD
Practice Address - Street 2:
Practice Address - City:EDWARDS
Practice Address - State:CO
Practice Address - Zip Code:81632-5634
Practice Address - Country:US
Practice Address - Phone:970-445-2489
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-06-26
Last Update Date:2024-03-28
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
UT12236686-12042084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry