Individual
MS. JARRE L JARRETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
411 SUMMIT, NORTHPORT, WA 99157
(509) 732-4252
(509) 732-4318
Mailing address
411 SUMMIT, PO BOX 178, NORTHPORT, WA 99157
(509) 732-4252
(509) 732-4318
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA10004544
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0176704
LABOR & INDUSTRIES ID #
WA
05
—
8376428
—
WA
Enumeration date
02/15/2007
Last updated
07/09/2007
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