JESSICA A POULSON
Military Health Care Provider

Address: Naval Medical Center San Diego 38400 Bob Wilson Dr, San Diego, CA 92134-5000

JESSICA A POULSON (NPI# 1003401845) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1003401845
Entity Type Individual
Full Name JESSICA A POULSON
Gender Female
Credential MD
Practice Address Naval Medical Center San Diego 38400 Bob Wilson Dr
San Diego
CA 92134-5000
Practice Telephone 7039282831
Mailing Address Naval Medical Center San Diego 38400 Bob Wilson Dr
San Diego
CA 92134-5000
Mailing Telephone 7039282831
Certification Date 2021-03-03
Enumeration Date 2021-03-03
Last Update Date 2021-03-03
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification Group License Number License State Taxonomy Group
Y 171000000X Military Health Care Provider Other Service Providers

Office Location

Street Address NAVAL MEDICAL CENTER SAN DIEGO 38400 BOB WILSON DR
City SAN DIEGO
State CA
Zip Code 92134-5000

Providers in the same location

NPI Name Taxonomy Address Enumeration
1366037814 Donel Starr Kelly Military Health Care Provider Naval Medical Center San Diego 38400 Bob Wilson Dr, San Diego, CA 92134-5000 2021-03-06
1235724816 Kasey Garrett Military Health Care Provider Naval Medical Center San Diego 38400 Bob Wilson Dr, San Diego, CA 92134-5000 2021-03-04
1114512944 Laura Samantha Kraemer Military Health Care Provider Naval Medical Center San Diego 38400 Bob Wilson Dr, San Diego, CA 92134-0001 2021-03-03
1114512969 Ja'Qulane Scales Military Health Care Provider Naval Medical Center San Diego 38400 Bob Wilson Dr, San Diego, CA 92134-5000 2021-03-03
1164017901 John Bunkall Military Health Care Provider Naval Medical Center San Diego 38400 Bob Wilson Dr, San Diego, CA 92134-5000 2021-03-03
1386239127 Brendon William Kiely Military Health Care Provider Naval Medical Center San Diego 38400 Bob Wilson Dr, San Diego, CA 92134-5000 2021-03-03
1508451311 Dana Golden Military Health Care Provider Naval Medical Center San Diego 38400 Bob Wilson Dr, San Diego, CA 92134-5000 2021-03-03
1922693761 Seth Harvey Military Health Care Provider Naval Medical Center San Diego 38400 Bob Wilson Dr, San Diego, CA 92134-0001 2021-03-03
1982299806 Matthew Masur Military Health Care Provider Naval Medical Center San Diego 38400 Bob Wilson Dr, San Diego, CA 92134-0001 2021-03-03
1174118087 Ryan William Craig Military Health Care Provider Naval Medical Center San Diego 38400 Bob Wilson Dr, San Diego, CA 92134-0001 2021-03-02
Find all providers in the same address

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1295320653 Naran Spencer Lodhia Military Health Care Provider 38400 Bob Wilson Dr, San Diego, CA 92134-5000 2021-03-07
1487249850 Kristin Bala Military Health Care Provider Naval Medical Center San Diego 34800 Bob Wilson Dr, San Diego, CA 92134-5000 2021-03-07
1487249926 Bradley James Ulis Military Health Care Provider Naval Medical Center San Diego 34800 Bob Wilson Dr, San Diego, CA 92134-5000 2021-03-06
1003401662 Nathaniel Whittington Foster Military Health Care Provider 38400 Bob Wilson Dr, San Diego, CA 92134-5000 2021-03-05
1154916740 William Thomas Yokeley Jr. Military Health Care Provider Naval Medical Center San Diego 34800 Bob Wilson Drive, San Diego, CA 92134-5000 2021-03-04
1245825033 Stephanie Ha Military Health Care Provider 38400 Bob Wilson Dr, San Diego, CA 92134-5000 2021-03-04
1447845128 Margaret Nettleton Military Health Care Provider 38400 Bob Wilson Drive, San Diego, CA 92134-5000 2021-03-04
1750976403 Kody Michael Kleinrichert Military Health Care Provider 38400 Bob Wilson Dr, San Diego, CA 92134-5000 2021-03-04
1235724063 Sama Alazawi Military Health Care Provider 38400 Bob Wilson Dr, San Diego, CA 92134-5000 2021-03-03
1386239101 Alex Pazevic Military Health Care Provider 34800 Bob Wilson Dr, San Diego, CA 92134-5000 2021-03-03
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Providers in the same zip code prefix

NPI Name Taxonomy Address Enumeration
1801406731 Calvin Tyler Skinner Student in an Organized Health Care Education/Training Program 34800 Bob Wilson Drive, Building 2, Ground Floor/Quality Management Suite, San Diego, CA 92134 2020-08-05
1477178457 Joseph Hunter Sampson Military Health Care Provider · Independent Duty Corpsman 34101 Farenholt Ave #14, San Diego, CA 92134 2020-06-15
1508495201 Benjamin Michael Taylor Military Health Care Provider Naval Medical Center San Diego Psychiatry Residency Pgm, 34800 Bob Wilson Drive, San Diego, CA 92134 2020-04-04
1013566215 Christopher Javier Camacho Military Health Care Provider · Independent Duty Corpsman 34800 Bob Wilson Dr, San Diego, CA 92134 2019-09-10
1790337681 Robert David Bills Iv Military Health Care Provider · Independent Duty Corpsman 34800 Bob Wilson Drive, Fpo, AP 92134 2019-07-11
1841851631 Kenny Mendoza Military Health Care Provider · Independent Duty Corpsman 34800 Bob Wilson Dr, San Diego, CA 92134 2019-06-24
1669039798 Coy Dylan Parker Military Health Care Provider · Independent Duty Corpsman Surface Warfare Medical Institute, 34101 Farenholt Ave, San Diego, CA 92134 2019-05-23
1407411655 Reinaldo Eugenio Colon Morillo Military Health Care Provider 34800 Bob Wilson Drive, San Diego, CA 92134 2019-05-02
1043776149 Nicole Freeborn Military Health Care Provider · Independent Duty Corpsman 34800 Bob Wilson Dr, Fpo, AP 92134 2019-02-13
1245714476 Rebekah Elaine Glennnorris Social Worker 34800 Bob Wilson Drive, Bldg 1, Floor 2, Suite 208, San Diego, CA 92134 2018-09-24
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Taxonomy Information

Taxonomy Code 171000000X
Grouping Other Service Providers
Classification Military Health Care Provider

Taxonomy Definition

Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.
Notes: [7/1/2005: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1295320653 Naran Spencer Lodhia 38400 Bob Wilson Dr, San Diego, CA 92134-5000 2021-03-07
1487249850 Kristin Bala Naval Medical Center San Diego 34800 Bob Wilson Dr, San Diego, CA 92134-5000 2021-03-07
1366037814 Donel Starr Kelly Naval Medical Center San Diego 38400 Bob Wilson Dr, San Diego, CA 92134-5000 2021-03-06
1487249926 Bradley James Ulis Naval Medical Center San Diego 34800 Bob Wilson Dr, San Diego, CA 92134-5000 2021-03-06
1710572276 Nicole Lee Hadler Naval Medical Center San Diego 34800 Bob Wilson Dr, San Diego, CA 92134-0001 2021-03-06
1003401662 Nathaniel Whittington Foster 38400 Bob Wilson Dr, San Diego, CA 92134-5000 2021-03-05
1154916740 William Thomas Yokeley Jr. Naval Medical Center San Diego 34800 Bob Wilson Drive, San Diego, CA 92134-5000 2021-03-04
1235724816 Kasey Garrett Naval Medical Center San Diego 38400 Bob Wilson Dr, San Diego, CA 92134-5000 2021-03-04
1245825033 Stephanie Ha 38400 Bob Wilson Dr, San Diego, CA 92134-5000 2021-03-04
1437744216 Adam Howell 34800 Bob Wilson Dr, San Diego, CA 92134-1098 2021-03-04
Find all providers in SAN DIEGO

Competitor

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City SAN DIEGO
Zip Code 92134

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.