Jesse Wayne Tate, DO Valid NPI

Individual provider · Student in an Organized Health Care Education/Training Program · Fayetteville, NC

NPI

1902653488

Type

Individual (Type 1)

Primary specialty

Student in an Organized Health Care Education/Training Program

Specialty group

Student, Health Care

Taxonomy code

390200000X

Sex

Male

Sole proprietor

No

Enumerated

2024-05-02

Last updated

2025-08-08