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JESSE SELF
NPI 1326716341
Licensed Practical Nurse in Tupelo, MS

Active since September 03, 2021
2434 S EASON BLVD, TUPELO, MS 38804(662) 640-4595 Get Directions Write a Review

NPPES record last updated: September 3, 2021. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Jesse Self NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JESSE SELF (NPI 1326716341) is an individual licensed practical nurse in Tupelo, Mississippi, licensed in Mississippi (338751) and active in the NPI registry since September 2021.

NPPES Registry Identity

NPI1326716341
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameJESSE SELF
Location Address2434 S EASON BLVDTupelo, MS 38804-6942
Mailing Address2434 S Eason BlvdTupelo, MS 38804-6942 · (662) 640-4595
Phone(662) 640-4595
Sole ProprietorNo
Enumeration DateSeptember 3, 2021
NPPES CertifiedSeptember 3, 2021
✔ NPI 1326716341 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License✔ Licensed in MS · 338751
Definition
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
2434 S EASON BLVD, Tupelo, MS 38804
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TIFFANY BROWN
Counselor (Mental Health)
2434 S EASON BLVD
TUPELO, MS 38804
Lee County (662) 640-4595
ALYSSA BRIDGES
Counselor (Mental Health)
2434 S EASON BLVD
TUPELO, MS 38804
Lee County (662) 640-4595
CENTRELL GARDNER
Counselor
2434 S EASON BLVD
TUPELO, MS 38804
Lee County (662) 640-4595
KAYLA HARRIS
Counselor
2434 S EASON BLVD
TUPELO, MS 38804
Lee County (662) 810-4125
KEYAIRA STANDIFER
Counselor
2434 S EASON BLVD
TUPELO, MS 38804
Lee County (662) 640-4595
MS. CAROLEE ELIZABETH SMITH MSSW
Counselor (Mental Health)
2434 S EASON BLVD
TUPELO, MS 38804
Lee County (662) 844-1717
JAN HARRIS
Counselor (Mental Health)
2434 S EASON BLVD
TUPELO, MS 38804
Lee County (662) 640-4595
JOZIE GUNTER
Counselor (Mental Health)
2434 S EASON BLVD
TUPELO, MS 38804
Lee County (662) 640-4595

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jesse Self's NPI number?

The NPI number for Jesse Self is 1326716341. It was assigned to this individual provider in the NPPES registry on September 3, 2021.

Where is Jesse Self located?

Jesse Self practices at 2434 S Eason Blvd, Tupelo, MS 38804. The listed phone number is (662) 640-4595.

What is Jesse Self's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Jesse Self was last updated on September 3, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.