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NPI Code Detail

MEDICARE: JESSICA PAULSEN

MEDICARE: JESSICA PAULSEN
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
1363LF0000XFamily Nurse Practitioner30200SC
2207Q00000XFamily Medicine Physician5023258NC

General Provider Information

NPI Number : 1427840149
Entity Type Code : Individual
Provider Name (Legal Business Name) : JESSICA PAULSEN
Provider Business Mailing Address
First Line : 3121 MOSELEY DR
Second Line :
City : GREENVILLE
State : NC
Zip : 27858-4245
Country : US
Telephone Number : 252-758-4455
Fax Number : 252-758-6742
Provider Business Practice Location Address
First Line : 3121 MOSELEY DR
Second Line :
City : GREENVILLE
State : NC
Zip : 27858-4245
Country : US
Telephone Number : 252-758-4455
Fax Number : 252-758-6742
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/19/2025
Last Update Date : 10/13/2025

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Directions to “ JESSICA PAULSEN ” Practice Location

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