# JENNIFER C CREASER

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

## Provider details

- **NPI number:** 1588772461
- **Gender:** F
- **Credential:** ARNP

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | AP30006968 | WA | — |
| 363L00000X | Nurse Practitioner | NP1021A | ID | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | AP30006968 | WA | — |

## Other

- **Enumeration date:** 08/29/2006
- **Last updated:** 09/17/2025

## 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 |