Individual
JANA BANJANIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2901 SQUALICUM PKWY, BELLINGHAM, WA 98225-1851
(360) 788-6993
(360) 788-6995
Mailing address
500 FOOTHILL DR, SALT LAKE CITY, UT 84148-0001
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP61332682
WA
390200000X
Student in an Organized Health Care Education/Training Program
AP61332682
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AP61332682
ADVANCED REGISTERED NURSE PRACTITIONER LICENSE
WA
01
—
RN60968293
NURSING LICENSE
WA
Enumeration date
08/07/2019
Last updated
02/09/2024
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