DR. Diane Marie Jessen, O.D.

NPI #1063573400 in Wentzville, Missouri

Provider Information

NPI Number: 1063573400
Entity Type: Individual
Name: DR. Diane Marie Jessen, O.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Credential: O.D.
Enumeration Date: Dec 12, 2006
Last Updated: Oct 28, 2015

Practice Location

Address: 1894 WENTZVILLE PKWY
City: Wentzville
State: Missouri
ZIP Code: 63385-3820
Phone: (636) 377-2054

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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