Individual
JESSIE J MINARDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, RNFA
Contact information
Practice address
139 PRAIRIE LN, KELSO, WA 98626-5300
(360) 431-9113
Mailing address
139 PRAIRIE LN, KELSO, WA 98626-5300
(360) 431-9113
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN60076159
WA
163WR0006X
Registered Nurse First Assistant
Primary
RN60076159
WA
Other
Enumeration date
02/20/2026
Last updated
03/05/2026
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