Individual
JESSICA R TULLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5700 MONROE ST UNIT 206, SYLVANIA, OH 43560-2735
(419) 473-6601
(419) 479-6966
Mailing address
333 N SUMMIT ST FL 7, TOLEDO, OH 43604-1531
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35.143458
OH
390200000X
Student in an Organized Health Care Education/Training Program
57.247691
OH
Other
Enumeration date
04/05/2019
Last updated
11/03/2023
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