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Individual

JESSICA M ROWAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNM, ARNP

Contact information

Practice address
1812 S J ST, STE 120, TACOMA, WA 98405-4964
(253) 207-4890
(253) 207-4871
Mailing address
1812 S J ST, STE 120, TACOMA, WA 98405-4964
(253) 207-4890
(253) 207-4871

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN00169958
WA
367A00000X
Advanced Practice Midwife
Primary
AP60235010
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0285744
STATE L&I
WA
Enumeration date
09/12/2011
Last updated
12/19/2011
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