Clingenpeel, Jennifer Ann

Clingenpeel, Jennifer Ann is an individual health care provider with primary practice located at 200 Lilly Rd Ne Ste C , Olympia WA 98506-5080. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Clingenpeel, Jennifer Ann can be contacted via phone (360) 688-7312.

Contact Information

Primary practice address
200 Lilly Rd Ne Ste C Olympia WA 98506-5080
Phone: (360) 688-7312
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X AP30007086 Washington

Profile Details

NPI number 1992886956
LBN Legal business name Clingenpeel, Jennifer Ann
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 18th, 2006
Last updated Oct 21st, 2020 - about 5 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1992886956 NPPES
Washington MEDICAID 9646464

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