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Individual

JESSICA MICHELLE KIRKWOOD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MSN, RN, WHNP-BC

Contact information

Practice address
11318 BRIDGEPORT WAY SW STE A, LAKEWOOD, WA 98499-3054
(253) 380-8905
(253) 353-7334
Mailing address
11318 BRIDGEPORT WAY SW STE A, LAKEWOOD, WA 98499-3054
(253) 380-8905
(253) 353-7334

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
AP60590540
WA
363LW0102X
Women's Health Nurse Practitioner
Primary
AP60590540
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2135058
WA
Enumeration date
12/15/2015
Last updated
09/28/2024
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