Individual
JESSICA MADELAINE NEEDHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
747 BROADWAY, SEATTLE, WA 98122-4379
(206) 215-2520
(206) 215-6364
Mailing address
PO BOX 25608, SALT LAKE CITY, UT 84125-0608
(206) 320-4476
(206) 568-7043
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN61093837
WA
363LC0200X
Critical Care Medicine Nurse Practitioner
Primary
AP61094027
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1558766915
—
WA
Enumeration date
10/28/2014
Last updated
12/21/2020
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