Individual
MS. JENNA NICOLE WARD LANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
4800 SAND POINT WAY NE, SEATTLE, WA 98105-3901
(202) 641-4272
Mailing address
1900 9TH AVE, SEATTLE, WA 98101-1309
(202) 641-4272
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
R175704
MD
Other
Enumeration date
07/28/2008
Last updated
10/26/2011
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