Individual
JENNIFER KAY LEVINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, CM
Contact information
Practice address
220 N DUCKABUSH DR N, HOODSPORT, WA 98548-9638
(360) 277-6424
Mailing address
PO BOX 148, HOODSPORT, WA 98548-0148
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
60371634
WA
Other
Enumeration date
08/13/2021
Last updated
08/13/2021
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