Provider Demographics
NPI:1417412404
Name:JESSIE, ROSALIND SCOTT (APRN)
Entity type:Individual
Prefix:
First Name:ROSALIND
Middle Name:SCOTT
Last Name:JESSIE
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1205 APPLEGATE LN
Mailing Address - Street 2:
Mailing Address - City:CLARKSVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:47129-9608
Mailing Address - Country:US
Mailing Address - Phone:812-283-8383
Mailing Address - Fax:812-283-8429
Practice Address - Street 1:1205 APPLEGATE LN
Practice Address - Street 2:
Practice Address - City:CLARKSVILLE
Practice Address - State:IN
Practice Address - Zip Code:47129-9608
Practice Address - Country:US
Practice Address - Phone:812-283-8383
Practice Address - Fax:812-283-8429
Is Sole Proprietor?:No
Enumeration Date:2019-02-05
Last Update Date:2024-12-04
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IN71008613A363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health