Vittengl, Jessica M S

Vittengl, Jessica M S is an individual health care provider with primary practice located at 2979 Squalicum Pkwy Suite 101, Bellingham WA 98225-1811. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Acute Care. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Vittengl, Jessica M S can be contacted via phone (360) 734-2700.

Contact Information

Primary practice address
2979 Squalicum Pkwy Suite 101 Bellingham WA 98225-1811
Phone: (360) 734-2700
Fax: (360) 734-8362
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X AP30007851 Washington
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X AP30007851 Washington

Profile Details

NPI number 1073707980
LBN Legal business name Vittengl, Jessica M S
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 4th, 2007
Last updated Jul 21st, 2011 - about 14 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 1073707980 NPPES
Washington MEDICAID 1073707980
Washington Other 0280023
Washington Other AF03
Washington MEDICAID 9654005
Washington Other 0164VI

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