Needham, Jessica Madelaine

Needham, Jessica Madelaine is an individual health care provider with primary practice located at 747 Broadway , Seattle WA 98122-4379. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Critical Care Medicine. Physician Assistants & Advanced Practice Nursing Providers / Critical Care Medicine is her primary health care specialty. Needham, Jessica Madelaine can be contacted via phone (206) 215-2520.

Contact Information

Primary practice address
747 Broadway Seattle WA 98122-4379
Fax: (206) 215-6364
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X RN61093837 Washington
Physician Assistants & Advanced Practice Nursing Providers / Critical Care Medicine 363LC0200X AP61094027 Washington

Profile Details

NPI number 1558766915
LBN Legal business name Needham, Jessica Madelaine
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 28th, 2014
Last updated Dec 21st, 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 1558766915 NPPES
Washington MEDICAID 1558766915

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