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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MRS. JESSICA FORTNER, OTR/L

Active Sole Proprietor

MRS. JESSICA FORTNER, OTR/L is a Specialist healthcare provider located in WATER VALLEY, Mississippi. NPI 1104100130 is currently active in the NPPES registry. Verify at CMS.

Specialist · WATER VALLEY, MS

Registration Details

NPI Number
1104100130
Provider Type
Individual
Gender
Female
NPI Issued
Oct 10, 2011 (14.818730981324 yrs)
Last Updated
Oct 10, 2011
License
OT2111 (MS)
Sole Proprietor
Yes

Practice Information

Address
194 COUNTY ROAD 371
WATER VALLEY, MS, 389653998
Browse MS providers · Browse ZIP 38965
Phone
6626070111
Primary Specialty
Specialist
174400000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.