Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JESSIE ROBERTS FUDGE, MD
ActiveDR. JESSIE ROBERTS FUDGE, MD is a Sports Medicine healthcare provider located in EVERETT, Washington. NPI 1386830610 is currently active in the NPPES registry. Verify at CMS.
Sports Medicine · EVERETT, WA
Registration Details
- NPI Number
- 1386830610
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 20, 2007 (18.929925705202 yrs)
- Last Updated
- Apr 7, 2021
- Licenses
-
MD 60141711 (WA)MD 60141711 (WA)
Practice Information
- Address
-
2930 MAPLE STEVERETT, WA, 982013832Browse WA providers · Browse ZIP 98201
- Phone
- 4255023600
- Primary Specialty
-
Sports Medicine
207QS0010X
- Additional Specialty
- Sports Medicine
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.