=====================================================
General NPI Number Information
=====================================================
NPI Number | 1982534731
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | JESSICA IGLESIAS
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 05/22/2026
-----------------------------------------------------
Last Update Date | 05/22/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1330 PICCARD DR STE 102
-----------------------------------------------------
City | ROCKVILLE
-----------------------------------------------------
State | MD
-----------------------------------------------------
Zip | 20850-4372
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 301-208-7350
-----------------------------------------------------
Fax | 301-208-7355
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1330 PICCARD DR STE 102
-----------------------------------------------------
City | ROCKVILLE
-----------------------------------------------------
State | MD
-----------------------------------------------------
Zip | 20850-4372
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 240-208-7350
-----------------------------------------------------
Fax | 240-208-7355
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 261QA0005X
-----------------------------------------------------
Taxonomy Name | Ambulatory Family Planning Facility
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------