Individual
JESSIE PAULL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1 BOONE RD, BREMERTON, WA 98312-1894
(360) 475-4396
(360) 475-4221
Mailing address
1 BOONE RD, BREMERTON, WA 98312-1894
(360) 475-4396
(360) 475-4221
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
0101260765
VA
171000000X
Military Health Care Provider
MD61218866
WA
208600000X
Surgery Physician
0101260765
VA
208600000X
Surgery Physician
Primary
MD61218866
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MD61218866
LICENSE
WA
Enumeration date
04/05/2015
Last updated
01/03/2023
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