Individual
DR. JESSE A WELLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2175 ROSALINE AVE, REDDING, CA 96001-2509
(530) 225-7243
Mailing address
PO BOX 993820, REDDING, CA 96099-3820
(530) 225-7243
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
A84768
CA
207P00000X
Emergency Medicine Physician
Primary
MD2020-0157
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A847680
BLUE SHIELD
CA
05
—
00A847680
—
CA
Enumeration date
06/30/2006
Last updated
10/29/2025
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