Individual
JEAN EBERSOLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1020 ANDERSON DR STE 203, ABERDEEN, WA 98520-1055
(360) 533-6063
Mailing address
722 WATER ST, ABERDEEN, WA 98520-8040
(717) 271-4823
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP61615826
WA
Other
Enumeration date
01/08/2025
Last updated
01/08/2025
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