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Contact Information

TIANA JESSUP, M.S
3629 PEARLBUSH AVE
APT 2
INDIANAPOLIS, IN46203-6704
 Phone: 317-540-0373
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Mental Health

101YM0800X
 

Contractor

171W00000X
 

Counselor

101Y00000X
Indicates primary specialty

NPI Profile & details for TIANA JESSUP · (Female)

NPI Number 1932552841
Status Active
Credentials M.S
Entity Individual
Enumeration date 07/14/2016
Last updated 10/22/2017 - About 9 years ago
Sole proprietor 1 Yes
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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