Individual provider · Type 1 NPI

Revonda Lashawn Jessup, D.P.M.

Foot & Ankle Surgery Podiatrist · Gastonia, NC

NPI number 1235346172 Active

Practice location

2721 X Ray Dr
Gastonia, NC 28054-7491

Mailing address

200 E 2nd Ave
Gastonia, NC 28052-4358

Other practice locations

  • 9601 Holly Point Dr, Suite 203, Huntersville, NC 28078-4910 · (704) 892-0949

Specialties and licenses

TaxonomyCodeLicense
Foot & Ankle Surgery Podiatrist Primary 213ES0103X505 (NC)

Foot & Ankle Surgery Podiatrist: Definition to come...

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About NPI 1235346172

Revonda Lashawn Jessup, D.P.M.'s National Provider Identifier is 1235346172, issued on May 17, 2007. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Gastonia, NC. The record was last updated on Jan 24, 2023.