Individual
JENNIFER A. JOHNSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
325 9TH AVE, SEATTLE, WA 98104-2499
(206) 744-3000
Mailing address
325 9TH AVE, BOX 359911, SEATTLE, WA 98104-2499
(206) 744-3076
(206) 744-2640
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
AP30007261
WA
363LF0000X
Family Nurse Practitioner
Primary
AP30007261
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0207591
L&I PIN
WA
01
—
06621U
REGENCE BLUE SHIELD PIN
WA
01
—
61507U
REGENCE BLUE SHIELD PIN
WA
05
—
9648494
—
WA
Enumeration date
05/15/2006
Last updated
06/23/2011
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