| Doctor Name: | JEAN CARSON FLETCHER |
| NPI Number: | 1659367860 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | ARNP |
| License Number: | AP30000151 |
| Business Practice Address: | 140 C St Forks, WA - 983319024 |
| Business Phone Number: | 3603743514 |
| Business Fax Number: | 3603745464 |
| Mailing Address: | 1962 Owl Creek Rd, FORKS |
| State: | WA |
| Postal Code: | 983319474 |
| Phone Number: | 3603745627 |
| Fax Number: | |
| NPI Enumeration Date: | 09/22/2005 |
| NPI Last Update Date: | 09/23/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LW0102X |
| License Number: | AP30000151 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Women's Health |
| Taxonomy Definition: | |