Individual
JENAE B. PORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSN, RN
Contact information
Practice address
1201 100TH ST NE, GRANITE FALLS, WA 98252-8632
(360) 691-7718
(425) 412-8493
Mailing address
205 N ALDER AVE, GRANITE FALLS, WA 98252-8907
(360) 691-7717
(425) 412-8493
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
RN61521018
WA
Other
Enumeration date
10/31/2024
Last updated
10/31/2024
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