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Individual

JENNIFER LEE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
NURSE PRACTITIONER

Contact information

Practice address
23424 126TH AVE SE, KENT, WA 98031-3667
(808) 430-1717
Mailing address
PO BOX 5096, KENT, WA 98064-5096
(808) 430-1717

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN60084346
WA
363LF0000X
Family Nurse Practitioner
Primary
AP61670666
WA

Other

Enumeration date
03/27/2020
Last updated
04/20/2025
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