Individual
JENNIFER DAWN PURSES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
1220 DIVISION AVE, TACOMA, WA 98403-1321
(253) 403-1685
Mailing address
1220 DIVISION AVE, TACOMA, WA 98403-1321
(253) 403-1685
Taxonomy
Speciality
Code
Description
License number
State
2084B0040X
Behavioral Neurology & Neuropsychiatry Physician
OP60280565
WA
2084P0800X
Psychiatry Physician
044816
CT
2084P0800X
Psychiatry Physician
34.009622
OH
2084P0800X
Psychiatry Physician
OP60280565
WA
2084P0804X
Child & Adolescent Psychiatry Physician
34.009622
OH
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
OP60280565
WA
Other
Enumeration date
07/06/2007
Last updated
06/17/2013
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