Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jessica R Tullis, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1780146878

Jessica R Tullis, MD is a Family Practice in Sylvania, Ohio. Graduated from University of Toledo College of Medicine in 2019, 7 years ago. Practices with Promedica Central Physicians, a 784-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Ohio.

Years since qualifying
7
Trained at
University of Toledo College of Medicine
Licensed in
OH
In the registry since
2019
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

5700 Monroe St Unit 206
Sylvania, OH 43560-2735
Phone: (419) 473-6601
Fax: (419) 479-6966
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 35.143458 (OH)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X · Licence 57.247691 (OH)

Record details

NPI number1780146878
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 5, 2019
Last updated in NPPESNovember 3, 2023
Certification dateJuly 29, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolUNIVERSITY OF TOLEDO COLLEGE OF MEDICINE
Graduated 2019 (7 years in practice)
Group practice Promedica Central Physicians — 784 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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