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NPI Code Detail

MEDICARE: JESSICA BADGER

MEDICARE:   JESSICA  BADGER
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
1363AM0700XMedical Physician Assistant
2207RC0000XCardiovascular Disease PhysicianC5-0011772DE
3363A00000XPhysician Assistant

General Provider Information

NPI Number : 1740855444
Entity Type Code : Individual
Provider Name (Legal Business Name) : JESSICA BADGER
Provider Business Mailing Address
First Line : 701 FOULK RD STE 1A
Second Line :
City : WILMINGTON
State : DE
Zip : 19803-3733
Country : US
Telephone Number : 302-731-0001
Fax Number :
Provider Business Practice Location Address
First Line : 701 FOULK RD STE 1A
Second Line :
City : WILMINGTON
State : DE
Zip : 19803-3733
Country : US
Telephone Number : 302-731-0001
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/25/2021
Last Update Date : 12/03/2025

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Directions to “ JESSICA BADGER ” Practice Location

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