Most Relevant Information
Provider Data
| NPI Number: | 1003401845 |
| Provider Name: | JESSICA A POULSON MD |
| Entity Type: | Individual |
| Taxonomy Code: | 208D00000X |
| Specialty: | General Practice |
| License Number: | 0101275844 |
Most Important Dates
| Enumeration Date: | 03/03/2021 |
| Last Updated: | 09/04/2024 |
Provider Practice Location
WALTER REED NATIONAL MILITARY MEDICAL CENTER
8901 ROCKVILLE PIKE
BETHESDA
VA
20814
Practice Location Phone/Fax
| Phone: | 7039282831 |
| Fax: |
Provider Mailing Location
WALTER REED NATIONAL MILITARY MEDICAL CENTER
8901 ROCKVILLE PIKE
BETHESDA
MD
20814
Provider Mailing Phone/Fax
| Phone: | 7039282831 |
| Fax: |