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1467653790

NPI Code Detail

MEDICARE: MRS. JESSICA STRICKLAND PULLIAM P. A.

MEDICARE: MRS. JESSICA STRICKLAND PULLIAM P. A.

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
1	363A00000X	Physician Assistant	PA95315	MA
2	363A00000X	Physician Assistant	50.007998RX	OH
3	363A00000X	Physician Assistant	PA9113088	FL
4	363A00000X	Physician Assistant	PA15950	TX
5	363A00000X	Physician Assistant	PA61581028	WA
6	363A00000X	Physician Assistant	PA031857	DC
7	363A00000X	Physician Assistant	5079	TN
8	363A00000X	Physician Assistant	0010-00910	NC
9	363A00000X	Physician Assistant	10114	GA
10	363A00000X	Physician Assistant	6176	CT
11	363A00000X	Physician Assistant	085010322	IL
12	363A00000X	Physician Assistant	C0007799	MD
13	363A00000X	Physician Assistant	10004131A	IN
14	363A00000X	Physician Assistant	0110007066	VA
15	363A00000X	Physician Assistant	030535	NY

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MD042	OTHER	FL	FL MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	0010 00910	OTHER	NC	PA-C

General Provider Information

NPI Number	:	1467653790
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. JESSICA STRICKLAND PULLIAM P. A.

Provider Business Mailing Address
First Line	:	1 EMBARCADERO CTR STE 1900
Second Line	:
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94111-3723
Country	:	US
Telephone Number	:	888-663-6331
Fax Number	:

Provider Business Practice Location Address
First Line	:	489 5TH AVE FL 3
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10017-6145
Country	:	US
Telephone Number	:	888-663-6331
Fax Number	:	415-252-7176

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/31/2007
Last Update Date	:	01/26/2026

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Directions to “ MRS. JESSICA STRICKLAND PULLIAM P. A.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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