Individual
JENNIFER G. VINCENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1401 MADISON ST STE 100, SEATTLE, WA 98104-1316
(206) 386-6111
(206) 386-6113
Mailing address
PO BOX 84026, SEATTLE, WA 98124-8426
(206) 386-6111
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD00023735
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8109548
—
WA
Enumeration date
10/25/2006
Last updated
02/17/2009
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