Individual
JENNIFER RENEE KASSELMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
700 S 320TH ST, SUITE A, FEDERAL WAY, WA 98003-4691
(253) 839-6550
(503) 362-8435
Mailing address
1793 13TH ST SE, SALEM, OR 97302-2541
(503) 362-8385
(503) 362-8435
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP60605290
WA
Other
Enumeration date
10/11/2013
Last updated
10/20/2016
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