Individual
DR. ANN LONG JENNERICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D., M.S.
Contact information
Practice address
1959 NE PACIFIC ST, SEATTLE, WA 98195-0001
(206) 598-7356
Mailing address
PO BOX 50095, SEATTLE, WA 98145-5095
(206) 520-5700
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
MD60217575
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1255522256
—
WA
Enumeration date
08/05/2007
Last updated
08/09/2019
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