Individual
ELIZABETH JERNBERG
Active
Individual
ELIZABETH JERNBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
MD00027793
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0039583
LABOR & INDUSTRY
WA
05
—
8146045
—
WA
01
—
8417JE
BLUE SHIELD
WA
01
—
US521467
AETN/USHC SPECIALIST
WA
Enumeration date
08/31/2006
Last updated
08/27/2013
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