Proctor, Jeannette M
Proctor, Jeannette M is an individual health care provider with primary practice located at 1101 Madison St Ste 700 , Seattle WA 98104. She recently has 4 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Women's Health, Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology. Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology is her primary health care specialty. Proctor, Jeannette M can be contacted via phone (206) 215-6300.Contact Information
Primary practice address
1101 Madison St Ste 700
Seattle WA 98104
Phone: (206) 215-6300
Fax: (206) 215-6301
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Registered Nurse | 163W00000X | RN00084815 | Washington |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | AP30006506 | Washington |
| Physician Assistants & Advanced Practice Nursing Providers / Women's Health | 363LW0102X | AP30006506 | Washington |
| Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology | 363LX0001X | AP30006506 | Washington |
Profile Details
| NPI number | 1619081700 |
|---|---|
| LBN Legal business name | Proctor, Jeannette M |
| Credentials | ARNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 18th, 2006 |
| Last updated | Aug 27th, 2018 - about 7 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 | 1619081700 | NPPES |
| Washington | MEDICAID | 9638073 | |
| Washington | MEDICAID | 1619081700 | |
| Washington | Other | 0242647 |
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