MEDICARE: JESSICA EDWARDS

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	106H00000X	Marriage & Family Therapist

General Provider Information

NPI Number	:	1841678208
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JESSICA EDWARDS

Provider Business Mailing Address
First Line	:	10170 HUENNEKENS ST
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92121-2964
Country	:	US
Telephone Number	:	858-349-7278
Fax Number	:

Provider Business Practice Location Address
First Line	:	10170 HUENNEKENS ST
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92121-2964
Country	:	US
Telephone Number	:	858-349-7278
Fax Number	:

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

Provider Enumeration Date	:	05/18/2015
Last Update Date	:	06/13/2024

Similar Medicare Providers

1881914000 — GRUPO MEDICO POLICLINICA SAN PEDRO MEDICARE ADVANTAGE
Practice Location Address:

211 CALLE MORSE
ARROYO, PR
00714-2350

Practice Phone: 787-839-3980
Practice Fax: 787-271-2515

1730060781 — ASHLEY MCNEELY
Practice Location Address:

10170 HUENNEKENS ST
SAN DIEGO, CA
92121-2964

Practice Phone: 858-676-2020
Practice Fax:

1245111046 — MRS. ELEANOR PE
Practice Location Address:

10170 HUENNEKENS ST
SAN DIEGO, CA
92121-2964

Practice Phone: 858-678-2036
Practice Fax: 858-678-2036

1720969447 — KAYA ISHIJIMA PPS
Practice Location Address:

10170 HUENNEKENS ST
SAN DIEGO, CA
92121-2964

Practice Phone: 619-393-2209
Practice Fax:

1366392276 — SHANNON MICHELLE HART RN
Practice Location Address:

10170 HUENNEKENS ST
SAN DIEGO, CA
92121-2964

Practice Phone: 858-678-2049
Practice Fax: 858-678-2049

1376746834 — DR. ANITA GUPTA
Practice Location Address:

12843 EL CAMINO REAL
SAN DIEGO, CA
92130-2964

Practice Phone: 844-213-7246
Practice Fax:

Directions to “ JESSICA EDWARDS ” 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.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.