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NPI Code Detail

MEDICARE: JESSICA FOON PA

MEDICARE: JESSICA FOON PA
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
1363A00000XPhysician Assistant2992TN

General Provider Information

NPI Number : 1700230802
Entity Type Code : Individual
Provider Name (Legal Business Name) : JESSICA FOON PA
Provider Business Mailing Address
First Line : 965 RIDGE LAKE BLVD STE 315
Second Line :
City : MEMPHIS
State : TN
Zip : 38120-9401
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2120 EXETER RD STE 250
Second Line :
City : GERMANTOWN
State : TN
Zip : 38138-3931
Country : US
Telephone Number : 901-767-5864
Fax Number : 901-767-6591
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/15/2016
Last Update Date : 05/19/2026

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Directions to “ JESSICA FOON PA” Practice Location

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