Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
REVONDA LASHAWN JESSUP, D.P.M.
Active Sole ProprietorREVONDA LASHAWN JESSUP, D.P.M. is a Foot & Ankle Surgery Podiatrist healthcare provider located in GASTONIA, North Carolina. NPI 1235346172 is currently active in the NPPES registry. Verify at CMS.
Foot & Ankle Surgery Podiatrist · GASTONIA, NC
Registration Details
- NPI Number
- 1235346172
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 17, 2007 (19.227022322094 yrs)
- Last Updated
- Jan 24, 2023
- License
-
505 (NC)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2721 X RAY DRGASTONIA, NC, 280547491Browse NC providers · Browse ZIP 28054
- Phone
- 7048742255
- Primary Specialty
-
Foot & Ankle Surgery Podiatrist
213ES0103X
Other Foot & Ankle Surgery Podiatrist Providers in GASTONIA, NC
| Name | Credential | NPI |
|---|---|---|
| MR. ROBERT A LIBERATORE | DPM | 1629064969 |
| MR. ROBERT CHRISTOPHER OLSON | DPM | 1235102971 |
| DR. MELANIE JESSUP EUBANKS | DPM | 1780634386 |
| DR. THURMOND DWAYNE LANIER | D.P.M. | 1457583429 |
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.