Individual
JESSICA ELEN BASSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
9040A JACKSON AVE, JOINT BASE LEWIS MCCHORD, WA 98431-4504
(253) 968-1110
Mailing address
9040A JACKSON AVE, JOINT BASE LEWIS MCCHORD, WA 98431-0001
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
010271469
VA
207RG0100X
Gastroenterology Physician
Primary
010271469
VA
208D00000X
General Practice Physician
1710445861
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
TX
Other
Enumeration date
03/07/2019
Last updated
06/27/2025
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