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Individual

JENNIFER ALCANTARA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
707 228TH ST SW, BOTHELL, WA 98021-9733
(206) 371-3503
Mailing address
19921 6TH PL W, LYNNWOOD, WA 98036-7288
(206) 371-3503

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN60195032
WA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP61671816
WA

Other

Enumeration date
08/02/2023
Last updated
04/03/2025
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