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Individual
JENNIFER C CREASER
Active
Individual
JENNIFER C CREASER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
AP30006968
WA
363L00000X
Nurse Practitioner
Primary
NP1021A
ID
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
AP30006968
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0270668
LABOR & INDUSTRIES
WA
05
—
1014089
—
WA
05
—
1014089
—
WI
01
—
1588772461
REGENCE BLUESHIELD
ID
05
—
1588772461
—
ID
01
—
NP733
BC/ID
ID
01
—
P00884066
RR MEDICARE
ID
Enumeration date
08/29/2006
Last updated
09/17/2025
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