Donahue, Jeri S

Donahue, Jeri S is an individual health care provider with primary practice located at 2901 Bridgeport Way W , University Place WA 98466-4614. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Donahue, Jeri S can be contacted via phone (253) 534-7000.

Contact Information

Primary practice address
2901 Bridgeport Way W University Place WA 98466-4614
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X AP60151024 Washington

Profile Details

NPI number 1700102910
LBN Legal business name Donahue, Jeri S
Credentials ARNP NP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 13th, 2010
Last updated Dec 2nd, 2020 - about 4 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 1700102910 NPPES
Washington MEDICAID 2006423

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