# JENNIFER JANE NORDSTROM-ZUARES

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

## Provider details

- **NPI number:** 1437156114
- **Gender:** F
- **Credential:** PA-C

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363A00000X | Physician Assistant | PA60111601 | WA | Yes |
| 363AM0700X | Medical Physician Assistant | PA1048 | NV | — |
| 363AM0700X | Medical Physician Assistant | PA60111601 | WA | — |

## Other

- **Enumeration date:** 07/07/2005
- **Last updated:** 03/17/2018

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 100512418 | — | NV |
| 05 | — | 8554693 | — | WA |
| 01 | — | CD8128 | GROUP RR \# | WA |
| 01 | — | PA60111601 | WA LICENSE | WA |