NPI 1386188720

Matthew Jeselnik

Practitioner Nursing Home Administrator Fairbanks, AK

Practice location

Address: 1233 5th Ave, Fairbanks, AK 99701-4211
Phone: (907) 317-1093

Registered specialties

Nursing Home Administrator Primary

Nursing Service Related Providers Taxonomy 376G00000X Licence 101139 (AK)

Other Nursing Home Administrator providers in Alaska →

Registry record

NPI: 1386188720
Entity type: Individual
Sex (as registered): Male
NPI issued: 4 Dec 2016
Record last updated: 4 Dec 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.