DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MS. TESSA POULSEN, PA-C

Active

MS. TESSA POULSEN, PA-C is a Physician Assistant healthcare provider located in TWIN FALLS, Idaho. NPI 1386944304 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · TWIN FALLS, ID

Registration Details

NPI Number
1386944304
Provider Type
Individual
Gender
Female
NPI Issued
Oct 25, 2010 (15.758675598281 yrs)
Last Updated
Dec 7, 2016
Licenses
PA21275 (CA)
PA-1002 (ID)

Practice Information

Address
325 MARTIN ST
TWIN FALLS, ID, 833014563
Browse ID providers · Browse ZIP 83301
Phone
2087340451
Fax
2087340452
Primary Specialty
Physician Assistant
363A00000X
Additional Specialty
Physician Assistant
Additional Specialty
Physician Assistant

Other Physician Assistant Providers in TWIN FALLS, ID

Name Credential NPI
CHUCK B FULLER PA-C 1124015102
WINSTON N PETERSEN PA-C 1194714717
JEREMY DAVID WILLES PAC 1356314843
BRIAN KEITH BIZIK P.A. 1932166956
NEELIE BERLIN WILLIS PA-C 1477590958
NICHOLAS J PERIUS PA 1154363000
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.