Edminster, Jennifer Lynn

Edminster, Jennifer Lynn is an sole proprietor health care provider with primary practice located at 5901 N Lidgerwood St Suite 217, Spokane WA 99208-5095. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Edminster, Jennifer Lynn can be contacted via phone (509) 483-4161.

Contact Information

Primary practice address
5901 N Lidgerwood St Suite 217 Spokane WA 99208-5095
Fax: (509) 483-0329
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X AP30005982 Washington

Profile Details

NPI number 1275752198
LBN Legal business name Edminster, Jennifer Lynn
Credentials ARNP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 25th, 2007
Last updated Jul 9th, 2007 - about 17 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 1275752198 NPPES
Washington MEDICAID 9641648

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