Provider Demographics
NPI:1710067616
Name:LEE, JESSICA J (MD)
Entity Type:Individual
Prefix:DR
First Name:JESSICA
Middle Name:J
Last Name:LEE
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Gender:F
Credentials:MD
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Mailing Address - Street 1:34800 BOB WILSON DRIVE
Mailing Address - Street 2:NMCSD NEPHROLOGY
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92134
Mailing Address - Country:US
Mailing Address - Phone:619-532-8840
Mailing Address - Fax:619-532-7178
Practice Address - Street 1:34800 BOB WILSON DR
Practice Address - Street 2:NEPHROLOGY CLINIC
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92134-1098
Practice Address - Country:US
Practice Address - Phone:619-532-8840
Practice Address - Fax:619-532-7178
Is Sole Proprietor?:No
Enumeration Date:2006-10-16
Last Update Date:2023-03-09
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Provider Licenses
StateLicense IDTaxonomies
VA0101240213207R00000X, 207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine