Individual
JENNIFER ANN SHUTTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
825 EASTLAKE AVE E, SEATTLE, WA 98109-4405
(206) 288-1000
Mailing address
PO BOX 50095, SEATTLE, WA 98145-5095
(206) 543-6420
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
AP30005834
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
500023987
RAILROAD MEDICARE
WA
05
—
9635764
—
WA
Enumeration date
08/28/2008
Last updated
08/28/2008
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