Individual
JENNIFER KATHLEEN CLANCY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
7224 PACIFIC HWY E, MILTON, WA 98354-9654
(253) 220-6183
Mailing address
4348 9TH AVE NE APT 608, SEATTLE, WA 98105-1739
(434) 713-1101
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
RN61080291
WA
Other
Enumeration date
01/28/2022
Last updated
01/28/2022
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