Banda, Jennifer A
Banda, Jennifer A is an individual health care provider with primary practice located at 1608 S J St Floor 1, Tacoma WA 98405-4930. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, Other Service Providers / Midwife. Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife is her primary health care specialty. Banda, Jennifer A can be contacted via phone (253) 274-7501.Contact Information
Primary practice address
1608 S J St Floor 1
Tacoma WA 98405-4930
Phone: (253) 274-7501
Fax: (253) 274-7991
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife | 367A00000X | 001609 | New York |
Other Service Providers / Midwife | 176B00000X | 001609 | New York |
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife | 367A00000X | AP60427514 | Washington |
Profile Details
NPI number | 1629492673 |
---|---|
LBN Legal business name | Banda, Jennifer A |
Credentials | Certified Nurse Midwife (CNM) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Feb 11th, 2014 |
Last updated | Jun 7th, 2016 - about 9 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1629492673 | NPPES |
Washington | Other | 347010 | STATE L&I |
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