Healthcare Provider Details

I. General information

NPI: 1295952273
Provider Name (Legal Business Name): TENA LOUISE JESSING PHARM. D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/19/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

330 FEDERAL WAY
PINE KNOT KY
42635-7000
US

IV. Provider business mailing address

228 ALGONQUIN TRL
SOMERSET KY
42501-3250
US

V. Phone/Fax

Practice location:
  • Phone: 606-354-7161
  • Fax: 606-354-7163
Mailing address:
  • Phone: 606-451-8270
  • Fax: 606-354-7163

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number1059183
License Number StateKY
# 2
Primary TaxonomyN
Taxonomy Code163WA2000X
TaxonomyAdministrator Registered Nurse
License Number1059183
License Number StateKY
# 3
Primary TaxonomyY
Taxonomy Code163WC1600X
TaxonomyContinuing Education/Staff Development Registered Nurse
License Number1059183
License Number StateKY
# 4
Primary TaxonomyN
Taxonomy Code163WL0100X
TaxonomyLactation Consultant (Registered Nurse)
License Number1059183
License Number StateKY
# 5
Primary TaxonomyN
Taxonomy Code163WN1003X
TaxonomyNutrition Support Registered Nurse
License Number1059183
License Number StateKY
# 6
Primary TaxonomyN
Taxonomy Code163WP0808X
TaxonomyPsychiatric/Mental Health Registered Nurse
License Number1059183
License Number StateKY
# 7
Primary TaxonomyN
Taxonomy Code163WP2201X
TaxonomyAmbulatory Care Registered Nurse
License Number1059183
License Number StateKY
# 8
Primary TaxonomyN
Taxonomy Code163WS0200X
TaxonomySchool Registered Nurse
License Number1059183
License Number StateKY
# 9
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License Number011435
License Number StateKY
# 10
Primary TaxonomyN
Taxonomy Code1835G0303X
TaxonomyGeriatric Pharmacist
License Number011435
License Number StateKY
# 11
Primary TaxonomyN
Taxonomy Code1835N0905X
TaxonomyNuclear Pharmacist
License Number011435
License Number StateKY
# 12
Primary TaxonomyN
Taxonomy Code1835N1003X
TaxonomyNutrition Support Pharmacist
License Number011435
License Number StateKY
# 13
Primary TaxonomyN
Taxonomy Code1835P1200X
TaxonomyPharmacotherapy Pharmacist
License Number011435
License Number StateKY
# 14
Primary TaxonomyN
Taxonomy Code1835P1300X
TaxonomyPsychiatric Pharmacist
License Number011435
License Number StateKY
# 15
Primary TaxonomyN
Taxonomy Code1835X0200X
TaxonomyOncology Pharmacist
License Number011435
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: