Individual provider · Type 1 NPI

Jesse Self

Licensed Practical Nurse · Tupelo, MS

NPI number 1326716341 Active

Practice location

2434 S Eason Blvd
Tupelo, MS 38804-6942

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X338751 (MS)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

639 other providers at this address

Other licensed practical nurse providers in Tupelo

See all in Tupelo →

About NPI 1326716341

Jesse Self's National Provider Identifier is 1326716341, issued on Sep 3, 2021. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Tupelo, MS. The record was last updated on Sep 3, 2021.