Individual
MS. AMANDA JENKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARNP FNP-C
Contact information
Practice address
901 12TH AVE, SEATTLE, WA 98122-4411
(206) 296-5660
Mailing address
901 12TH AVE, SEATTLE, WA 98122-4411
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN60582749
WA
363LA2200X
Adult Health Nurse Practitioner
Primary
AP60776007
WA
363LF0000X
Family Nurse Practitioner
AP60776007
WA
Other
Enumeration date
03/31/2017
Last updated
02/25/2020
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