Doctor Name: | MS. JESSICA SWENSON |
NPI Number: | 1003119009 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | ARNP |
License Number: | AP30006896 |
Business Practice Address: | 1231 116th Ave Ne Suite 950 Bellevue, WA - 980043804 |
Business Phone Number: | 4254543366 |
Business Fax Number: | 4254605954 |
Mailing Address: | 1231 116th Ave Ne, Suite 950 BELLEVUE |
State: | WA |
Postal Code: | 980043804 |
Phone Number: | 4254543366 |
Fax Number: | 4254605954 |
NPI Enumeration Date: | 12/13/2010 |
NPI Last Update Date: | 11/13/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LX0001X |
License Number: | AP30006896 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Obstetrics & Gynecology |
Taxonomy Definition: |