Individual
JANA MARIE PURDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
9330 59TH AVE SW, GREATER LAKES MENTAL HEALTH, LAKEWOOD, WA 98499-2858
(253) 620-5036
Mailing address
34936 10TH PL SW, FEDERAL WAY, WA 98023-8100
(253) 732-0084
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP60296832
WA
Other
Enumeration date
05/03/2011
Last updated
09/16/2013
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