Stevens, Jennifer Lynn
Stevens, Jennifer Lynn is an individual health care provider with primary practice located at 4800 Sand Point Way Ne M/S W3726, Seattle WA 98105-3901. She recently has only one registered license in Dietary & Nutritional Service Providers / Nutrition, Pediatric, which is considered as her primary health care specialty. Stevens, Jennifer Lynn can be contacted via phone (206) 987-4339.Contact Information
Primary practice address
4800 Sand Point Way Ne M/S W3726
Seattle WA 98105-3901
Phone: (206) 987-4339
Fax: (206) 987-5087
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dietary & Nutritional Service Providers / Nutrition, Pediatric | 133VN1004X | DI00000869 | Washington |
Profile Details
| NPI number | 1659460905 |
|---|---|
| LBN Legal business name | Stevens, Jennifer Lynn |
| Credentials | R.D., C.D., C.N.S.D. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 12th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1659460905 | NPPES |
| Washington | MEDICAID | 8261752 |
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