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Individual

SCOTT A JAHNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
ARNP

Contact information

Practice address
1002 N MERIDIAN, STE 100 PMB 193, PUYALLUP, WA 98371-4409
(253) 340-5040
Mailing address
1002 N MERIDIAN, STE 100 PMB 193, PUYALLUP, WA 98371-4409
(253) 340-5040

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN60684722
WA
163W00000X
Registered Nurse
RN9313499
FL
363L00000X
Nurse Practitioner
ARNP9313499
FL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP60684723
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
003562300
FL
05
1023308954
WA
Enumeration date
04/12/2011
Last updated
05/03/2023
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