Poulin, Jessica R

Poulin, Jessica R is an individual health care provider with primary practice located at 2979 Pga Blvd Ste 100 , Palm Beach Gardens FL 33410. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine. Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine is her primary health care specialty. Poulin, Jessica R can be contacted via phone (561) 626-3800.

Contact Information

Primary practice address
2979 Pga Blvd Ste 100 Palm Beach Gardens FL 33410
Phone: (561) 626-3800
Fax: (561) 624-6364
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X TRN15983 Florida
Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine 207VM0101X ME119737 Florida

Profile Details

NPI number 1972896694
LBN Legal business name Poulin, Jessica R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 27th, 2011
Last updated Aug 29th, 2018 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1972896694 NPPES
Florida MEDICAID 015052200

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