# JENNIFER R. WULFF

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1093734378
- **Gender:** F
- **Credential:** ARNP

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163W00000X | Registered Nurse | RN00127485 | WA | — |
| 363L00000X | Nurse Practitioner | AP30007017 | WA | Yes |
| 363LA2200X | Adult Health Nurse Practitioner | AP30007017 | WA | — |

## Other

- **Enumeration date:** 07/18/2006
- **Last updated:** 04/30/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0200734 | LABOR & INDUSTRY | WA |
| 01 | — | 92218U | REGENCE BLUESHIELD | WA |
| 05 | — | 9645698 | — | WA |