Wilson, Jennifer

Wilson, Jennifer is an individual health care provider with primary practice located at 4111 194Th St Sw , Lynnwood WA 98036-4604. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Wilson, Jennifer can be contacted via phone (425) 835-5200.

Contact Information

Primary practice address
4111 194Th St Sw Lynnwood WA 98036-4604
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA60554438 Washington

Profile Details

NPI number 1174906176
LBN Legal business name Wilson, Jennifer
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 8th, 2015
Last updated Sep 21st, 2015 - about 9 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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