Provider Demographics
NPI:1528460177
Name:HULCY, JESSICA BABBITT (FNP-C)
Entity type:Individual
Prefix:MS
First Name:JESSICA
Middle Name:BABBITT
Last Name:HULCY
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
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Mailing Address - Street 1:3265 HILLCREST PARK DR
Mailing Address - Street 2:
Mailing Address - City:MEDFORD
Mailing Address - State:OR
Mailing Address - Zip Code:97504-7657
Mailing Address - Country:US
Mailing Address - Phone:541-210-8721
Mailing Address - Fax:877-333-9851
Practice Address - Street 1:2655 SISKIYOU BLVD
Practice Address - Street 2:
Practice Address - City:MEDFORD
Practice Address - State:OR
Practice Address - Zip Code:97504-8125
Practice Address - Country:US
Practice Address - Phone:541-612-3557
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-09-25
Last Update Date:2021-08-06
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OR201406661NP-PP363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily