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NPI Code Detail

MEDICARE: JESSICA SIMPSON

MEDICARE:   JESSICA  SIMPSON
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103TS0200XSchool Psychologist240148786CA

General Provider Information

NPI Number : 1639025133
Entity Type Code : Individual
Provider Name (Legal Business Name) : JESSICA SIMPSON
Provider Business Mailing Address
First Line : 2000 N SANTA FE AVE
Second Line :
City : VISTA
State : CA
Zip : 92083-1534
Country : US
Telephone Number : 760-631-8500
Fax Number :
Provider Business Practice Location Address
First Line : 2000 N SANTA FE AVE
Second Line :
City : VISTA
State : CA
Zip : 92083-1534
Country : US
Telephone Number : 760-631-8500
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/06/2026
Last Update Date : 03/06/2026

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Directions to “ JESSICA SIMPSON ” Practice Location

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