Individual
JENNIFER SEARLE IVY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.N.M.
Contact information
Practice address
900 NE 139TH ST STE 206, VANCOUVER, WA 98685-2519
(360) 487-1360
Mailing address
PO BOX 25317, TAMPA, FL 33622-5317
(813) 286-0033
(813) 282-1806
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
ARNP3208842
FL
367A00000X
Advanced Practice Midwife
Primary
AP61112605
WA
367A00000X
Advanced Practice Midwife
ARNP3208842
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103339900
—
FL
01
—
BQ652W
MEDICARE
FL
Enumeration date
03/05/2008
Last updated
11/05/2024
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