Individual
MRS. JESSICA DIANE MCKEOWN RYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
18313 PAULSON ST SW, ROCHESTER, WA 98579-9262
(360) 827-8400
(360) 273-7301
Mailing address
18313 PAULSON ST SW, ROCHESTER, WA 98579-9262
(360) 827-8400
(360) 273-7301
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP60909311
WA
Other
Enumeration date
10/15/2018
Last updated
05/21/2021
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