Individual
MRS. JENNIFER MARIE ERICKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3021 GRIFFIN AVE, ENUMCLAW, WA 98022-2369
(360) 825-6511
(360) 825-6536
Mailing address
26458 MAPLE VALLEY BLACK DIAMOND RD SE, MAPLE VALLEY, WA 98038-8350
(425) 690-3460
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA60157486
WA
363AM0700X
Medical Physician Assistant
PA60157486
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0268930
STATE L&I
WA
Enumeration date
06/07/2010
Last updated
02/25/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us