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Individual

JENNIFER CHAMBERLAIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ARNP

Contact information

Practice address
12104 E MAIN AVE, SPOKANE VALLEY, WA 99206-6105
(866) 904-7721
(509) 576-8685
Mailing address
1117 TIETON DR, YAKIMA, WA 98902-3835
(866) 904-7727
(509) 576-8685

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP30001056
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7148406
WA
05
7922404
WA
Enumeration date
12/22/2005
Last updated
11/22/2013
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