Revonda Lashawn Jessup is a Gastonia, North Carolina based female podiatrist with 20 years of experience in Podiatric Foot & Ankle Surgery. She completed her graduation from Temple University School Of Medicine in 2004. She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Revonda Lashawn Jessup for Podiatric Foot & Ankle Surgery is 505 in North Carolina. Revonda Lashawn Jessup provide comprehensive medical and surgical care for a wide spectrum of foot and ankle conditions, including common to complex disorders and injuries that affect people of all ages. She is uniquely qualified to detect the early stages of diseases that exhibit warning signs in the lower extremities, such as diabetes, arthritis and cardiovascular disease, and can manage foot conditions that may pose an ongoing threat to a patient’s overall health.
Complete Profile:
Revonda Lashawn Jessup speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Podiatrist - Foot & Ankle Surgery
Credentials:
D.P.M.
Experience:
20+ years
Medical School Attended:
Temple University School Of Medicine
Graduation Year:
2004
Gender:
Female
Accepts Medicare Assignment:
Yes
Practice Address:
2721 X Ray Dr, Gastonia, North Carolina, 28054-7491
Phone:
704-874-2255
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
7214021989
Enrollment ID:
I20070926000222
NPI Number:
1235346172
NPI Enumeration Date:
17 May, 2007
NPI Last Update On:
24 Jan, 2023
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Revonda Lashawn Jessup are as mentioned below.
License Number
Specialization
State
Status
505
Podiatric Foot & Ankle Surgery
North Carolina
Primary
Other Medical Identifiers:
Other legacy medical identifiers associated with Revonda Lashawn Jessup such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
NPD505
Medicaid
South Carolina
6024065
Other
North Carolina
CIGNA
081CP
Other
North Carolina
BCBS
1551892
Other
North Carolina
AETNA
197970
Other
North Carolina
MEDCOST
5907484
Medicaid
North Carolina
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
200 E 2nd Ave, Gastonia, North Carolina
Zip:
28052-4358
Phone Number:
704-874-1936
Fax Number:
704-865-4614
Patients can reach Revonda Lashawn Jessup at 2721 X Ray Dr, Gastonia, North Carolina or can call to book an appointment on 704-874-2255. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.
Comments/ Reviews:
Similar Podiatrist in Gastonia, NC
Mr. John Kersey Throckmorton, DPM Speciality: Podiatrist - Primary Podiatric Medicine Address: 111 E 3rd Ave, NC Phone: 704-874-3300 Fax: 704-874-0065