Individual
MS. JENNIFER T HARDGROVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
6450 SOUTHCENTER BLVD STE 102, TUKWILA, WA 98188-2552
(206) 466-5410
(206) 721-1287
Mailing address
PO BOX 2429, LONGVIEW, WA 98632-8486
(360) 353-9494
(360) 353-9440
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP61025817
WA
363LP2300X
Primary Care Nurse Practitioner
AP610225817
WA
Other
Enumeration date
12/20/2019
Last updated
06/06/2023
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