MS. JESSICA R POULIN


Address: 2979 Pga Blvd Ste 100, Palm Beach Gardens, FL 33410
Phone: 5616263800

MS. JESSICA R POULIN (NPI# 1972896694) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1972896694
Entity Type Individual
Full Name MS. JESSICA R POULIN
Credential M.D.
Practice Address 2979 Pga Blvd Ste 100
Palm Beach Gardens
FL 33410
Mailing Address 770 Northpoint Pkwy Ste 102
West Palm Beach
FL 33407-1901
Practice Telephone 5616263800
Practice Fax Number 5616246364
Mailing Telephone 5612757604
Mailing Fax Number 5618025385
Enumeration Date 2011-05-27
Last Update Date 2018-08-29
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207V00000X Obstetrics & Gynecology TRN15983 FL Allopathic & Osteopathic Physicians
Y 207VM0101X Obstetrics & Gynecology
Specialization: Maternal & Fetal Medicine
ME119737 FL Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
FL 015052200 05

Office Location

Street Address 2979 PGA BLVD STE 100
City PALM BEACH GARDENS
State FL
Zip Code 33410

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1811501026 Vicky Pauline Salazar Registered Nurse 11501 N Military Trail, Palm Beach Gardens, FL 33410 2020-09-04
1417596388 Chavon E Mayer Doula 149 Winter Park Lane, West Palm Beach, FL 33410 2019-12-24
1639711617 Diamond Physical Therapy, LLC Physical Therapist 4025 Johnson Dairy Road, Palm Beach Gardens, FL 33410 2019-10-11
1689151714 Caroline Devries Hesterman Occupational Therapist 9840 Alternate A1a Ste 402, Palm Beach Gardens, FL 33410 2018-07-21
1366937088 Krystal Maya Khemkaran Behavior Technician 2979 Pga Blvd # 200, Palm Beach Gardens, FL 33410 2018-06-25
1548762552 Arsenia Pomperada Sabusap Nurse Practitioner Grace Medical Center of Florida, 4212 Northlake Blvd., Palm Beach Gardens, FL 33410 2018-03-06
1538668199 Alan Seidenfeld Dentist 7305 N Military Trl 3a-200, Riviera Beach, FL 33410 2018-02-08
1407361454 Nuvista Living At Jupiter, LLC Skilled Nursing Facility 338 Pioneer Road, Jupiter, FL 33410 2017-12-12
1083125728 Tom Long Biddle-xing Nurse Practitioner 3345 Burns Rd Ste 206, Palm Beach Gardens, FL 33410 2017-10-20
1801315189 Kasie Sidman Physical Therapist 3929 Bluebell St, Palm Beach Gardens, FL 33410 2017-09-18
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Taxonomy Information

Taxonomy Code 207VM0101X
Grouping Allopathic & Osteopathic Physicians
Classification Obstetrics & Gynecology
Specialization Maternal & Fetal Medicine

Taxonomy Definition

An obstetrician/gynecologist who cares for, or provides consultation on, patients with complications of pregnancy. This specialist has advanced knowledge of the obstetrical, medical and surgical complications of pregnancy and their effect on both the mother and the fetus. The specialist also possesses expertise in the most current diagnostic and treatment modalities used in the care of patients with complicated pregnancies.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1831299767 Ruel Tyrone Stoessel Obstetrics & Gynecology 8645 N Military Trail, Suite 508, Palm Beach Gardens, FL 33410-6296 2006-09-22
1952728131 Ruel T Stoessel Md Pa Obstetrics & Gynecology 8645 N Military Trail, Suite 508, Palm Beach Gardens, FL 33410-6294 2014-03-25
1811134273 University Perinatal Associates Obstetrics & Gynecology 11505 Fairchild Gardens Ave, Suite 101, Palm Beach Gardens, FL 33410-2847 2009-01-07
1295709756 Denise Guidetti Obstetrics & Gynecology 2979 Pga Blvd, Suite 100, Palm Beach Gardens, FL 33410-2911 2006-02-13
1982603296 Marie Morel Obstetrics & Gynecology 2979 Pga Blvd, Ste 100, Palm Beach Gardens, FL 33410-2911 2005-07-19

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1568877538 Sunshine Perinatology Specialists, M.d., P.a. Obstetrics & Gynecology 2310 North Blvd W, Davenport, FL 33837 2014-06-27
1780983114 Maternal Fetal Medicine of Southwest Florida Obstetrics & Gynecology 210 Del Prado Blvd, Suite 1, Cape Coral, FL 33990-1763 2011-03-24
1427357854 Maternal Fetal Medine of Sw Flordia Obstetrics & Gynecology 26800 S. Tamiami Tr, Suite 230, Bonita Springs, FL 34134-4390 2011-03-24
1336305614 Christensen Maternal & Fetal Medicine Obstetrics & Gynecology 2100 Aloma Ave, Suite 100, Winter Park, FL 32792-3301 2008-08-06
1871782748 Jose R Duncan Arosemena Obstetrics & Gynecology 2 Tampa General Cir Fl Circle6, Tampa, FL 33606-3603 2007-10-17
1336350446 Amy Alicia Flick Obstetrics & Gynecology 15735 Pines Blvd, Pembroke Pines, FL 33027-1207 2007-05-24
1639214190 Fausto Innamorati Obstetrics & Gynecology 780 Sw 28th Street, Fort Lauderdale, FL 33315-2643 2007-02-21
1891709630 Jerry N Gilles Obstetrics & Gynecology 300 Se 17th Street, Suite 300, Fort Lauderdale, FL 33316 2006-07-28
1003837527 Daniel George Kiefer Obstetrics & Gynecology 3438 Lawton Rd Ste 2a, Orlando, FL 32803 2006-07-21
1134144587 Stephen S Crane Obstetrics & Gynecology 615 E Princeton St Ste 240, Orlando, FL 32803-1465 2006-07-13
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Competitor

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City PALM BEACH GARDENS
Zip Code 33410

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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