Individual
MS. JENNIFER SHANNON NIEMI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
19020 33RD AVE W STE 210, LYNNWOOD, WA 98036-4748
(425) 563-1500
(425) 563-1501
Mailing address
19020 33RD AVE W STE 210, LYNNWOOD, WA 98036-4748
(425) 563-1500
(425) 563-1374
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
22832A
ID
363LF0000X
Family Nurse Practitioner
Primary
AP60209815
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2021864
—
WA
Enumeration date
04/04/2011
Last updated
07/21/2022
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