Individual
JESSE K BIVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ARNP
Contact information
Practice address
5741 N 26TH ST UNIT 115, TACOMA, WA 98407-2415
(253) 756-3737
(253) 756-3799
Mailing address
5741 N 26TH ST UNIT 115, TACOMA, WA 98407-2415
(253) 756-3737
(253) 756-3799
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP60732867
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2076252
—
WA
Enumeration date
02/20/2017
Last updated
03/27/2024
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