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Individual
JENNIFER R. WULFF
Active
Individual
JENNIFER R. WULFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN00127485
WA
363L00000X
Nurse Practitioner
Primary
AP30007017
WA
363LA2200X
Adult Health Nurse Practitioner
AP30007017
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0200734
LABOR & INDUSTRY
WA
01
—
92218U
REGENCE BLUESHIELD
WA
05
—
9645698
—
WA
Enumeration date
07/18/2006
Last updated
04/30/2021
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