NPI 1679573034

Timothy a Jessie, MD

Practitioner Surgery Physician Lagrange, IN

Practice location

Address: 207 N Townline Rd STE 101, Lagrange, IN 46761-1325
Phone: (260) 463-9335
Fax: (260) 463-9334
Mailing address: 11109 Parkview Plaza Dr # 117, Fort Wayne, IN 46845-1701

Registered specialties (6)

Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208600000X Licence 01076415A (IN)

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Surgery Physician

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Allopathic & Osteopathic Physicians Taxonomy 208600000X Licence 35083403 (OH)

Surgery Physician

Allopathic & Osteopathic Physicians Taxonomy 208600000X Licence 200501327 (NC)

Surgery Physician

Allopathic & Osteopathic Physicians Taxonomy 208600000X Licence D73747 (MD)

Surgery Physician

Allopathic & Osteopathic Physicians Taxonomy 208600000X Licence 32580 (KS)

Registry record

NPI: 1679573034
Entity type: Individual
Sex (as registered): Male
NPI issued: 28 Jul 2005
Record last updated: 2 May 2025

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.