Individual
JESSICA LYNN LANDOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARNP FNP-C
Contact information
Practice address
2910 184TH AVE E, LAKE TAPPS, WA 98391-9420
(518) 588-4184
Mailing address
2910 184TH AVE E, LAKE TAPPS, WA 98391-9420
(518) 588-4184
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ARNP.AP.61405382-NP
WA
Other
Enumeration date
01/30/2023
Last updated
02/15/2023
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