Individual
JEANINE FICKERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4815 N ASSEMBLY ST, SPOKANE, WA 99205-6185
(509) 434-7000
Mailing address
4815 N ASSEMBLY ST, SPOKANE, WA 99205-6185
(509) 434-7000
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
AP30004856
WA
363LA2200X
Adult Health Nurse Practitioner
AP30005944
WA
Other
Enumeration date
06/01/2006
Last updated
07/18/2022
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