Individual
JENNIFER E. UTTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
16700 177TH AVE SE, MONROE, WA 98272-9141
(360) 794-2827
(360) 794-2741
Mailing address
1286 MOUNT BAKER RD, STE B102, EASTSOUND, WA 98245-8931
(360) 376-7778
(360) 376-7706
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA10003279
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA100003279
CERTIFIED PHYSICIAN ASSIS
WA
Enumeration date
06/04/2007
Last updated
03/07/2023
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