Individual
JESSICA RAE DEPASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1610 GROVER ST STE D1, LYNDEN, WA 98264-1539
(360) 354-1333
Mailing address
1610 GROVER ST STE D1, LYNDEN, WA 98264-1539
(360) 354-1333
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP61595445
WA
Other
Enumeration date
08/05/2024
Last updated
11/27/2024
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