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  7. NPI Record 1518128511

JESSICA LYNNE POISSON M.D.
Complete NPI Record 1518128511
Pathology - Anatomic Pathology & Clinical Pathology in Durham, NC

NPI Status: Active since June 23, 2008

Contact Information

1720 DUKE HOSPITAL N
DURHAM, NC
ZIP 27710
Phone: (919) 684-8111

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Table of Contents

  1. NPI
  2. Entity Type Code
  3. Provider Last Name Legal Name
  4. Provider First Name
  5. Provider Middle Name
  6. Provider Credential Text
  7. Provider First Line Business Mailing Address
  8. Provider Business Mailing Address City Name
  9. Provider Business Mailing Address State Name
  10. Provider Business Mailing Address Postal Code
  11. Provider Business Mailing Address Country Code If outside U S
  12. Provider Business Mailing Address Telephone Number
  13. Provider First Line Business Practice Location Address
  14. Provider Business Practice Location Address City Name
  15. Provider Business Practice Location Address State Name
  16. Provider Business Practice Location Address Postal Code
  17. Provider Business Practice Location Address Country Code If outside U S
  18. Provider Business Practice Location Address Telephone Number
  19. Provider Enumeration Date
  20. Last Update Date
  21. Provider Gender Code
  22. Healthcare Provider Taxonomy Code 1
  23. Provider License Number 1
  24. Provider License Number State Code 1
  25. Healthcare Provider Primary Taxonomy Switch 1
  26. Is Sole Proprietor

Complete NPI Dataset

This page represents the complete record for NPI 1518128511. You can access the complete dataset, including a full list of field names, along with their values, and definitions as recorded by the NPI registry. Each field in the NPI record is explained, highlighting its significance and the possible values it can hold.

NPI: 1518128511
The city name in the location address of the provider being identified.
Entity Type Code: 1
The State code in the location of the provider being identified.
The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
Provider First Name: JESSICA
The country code in the location address of the provider being identified.
Provider Middle Name: LYNNE
The telephone number associated with the location address of the provider being identified.
Provider Credential Text: M.D.
The date the provider was assigned a unique identifier (assigned an NPI).
Provider First Line Business Mailing Address: PO BOX 63362
The date that a record was last updated or changed.
Provider Business Mailing Address City Name: CHARLOTTE
The last name of the person authorized to submit the NPI application or to change NPS data for a health care provider.
Provider Business Mailing Address State Name: NC
The first name of the authorized official.
Provider Business Mailing Address Postal Code: 282633362
The title or position of the authorized official.
Provider Business Mailing Address Country Code If outside U S : US
The 10-position telephone number of the authorized official.
Provider Business Mailing Address Telephone Number: 8007826945
Code designating the provider type, classification, and specialization. Codes are from the Healthcare Provider Taxonomy code list. The NPS will associate these data with the license data for providers with Entity type code = 1.
Provider First Line Business Practice Location Address: 1720 DUKE HOSPITAL N
Provider Business Practice Location Address City Name: DURHAM
The city name in the location address of the provider being identified.
Provider Business Practice Location Address State Name: NC
The State code in the location of the provider being identified.
Provider Business Practice Location Address Postal Code: 277100001
The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
Provider Business Practice Location Address Country Code If outside U S : US
The country code in the location address of the provider being identified.
Provider Business Practice Location Address Telephone Number: 9196848111
The telephone number associated with the location address of the provider being identified.
Provider Enumeration Date: 6/23/2008
The date the provider was assigned a unique identifier (assigned an NPI).
Last Update Date: 11/23/2014
The date that a record was last updated or changed.
Provider Gender Code: F
The code designating the provider’s gender if the provider is a person.
Healthcare Provider Taxonomy Code 1: 207ZP0102X
Code designating the provider type, classification, and specialization. Codes are from the Healthcare Provider Taxonomy code list. The NPS will associate these data with the license data for providers with Entity type code = 1.
Provider License Number 1: A127127
The license number issued to the provider being identified. The NPS can accommodate multiple license numbers for multiple specialties and for multiple States. The NPS will associate this data element with ‘‘provider taxonomy code’’.
Provider License Number State Code 1: CA
The code representing the State that issued the license to the provider being identified. This field can accommodate multiple States. It is associated with ‘‘provider license number.
Healthcare Provider Primary Taxonomy Switch 1: Y
Is Sole Proprietor: N
Code indicating whether the provider is operating as a sole proprietor. Codes are: Y = Yes; N = No