Individual
JENNIFER LEA RICKLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1100 9TH AVE, SEATTLE, WA 98101-2756
(206) 223-6980
(206) 223-6982
Mailing address
PO BOX 741515, LOS ANGELES, CA 90074-1515
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
963411
TX
367500000X
Certified Registered Nurse Anesthetist
AP141412
TX
367500000X
Certified Registered Nurse Anesthetist
Primary
AP61418053
WA
Other
Enumeration date
03/29/2019
Last updated
07/01/2025
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