Individual
JENNIFER LYNNE LANDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
9040 JACKSON AVE, TACOMA, WA 98431-1100
(253) 968-0982
Mailing address
9040 JACKSON AVE, TACOMA, WA 98431-1100
(253) 968-0982
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
171359
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
171359
RN LICENSE
WA
01
—
67331
RN LICENSE
HI
Enumeration date
05/15/2019
Last updated
05/15/2019
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