Individual
JESSICA WADDLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP, FNP-C
Contact information
Practice address
101 NW 12TH AVENUE, SUITE 107, BATTLE GROUND, WA 98604
(360) 723-0528
(360) 995-0081
Mailing address
101 NW 12TH AVENUE, SUITE 107, BATTLE GROUND, WA 98604
(360) 723-0528
(360) 995-0081
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN60326225
WA
363L00000X
Nurse Practitioner
AP61520261
WA
363LF0000X
Family Nurse Practitioner
Primary
AP61520261
WA
Other
Enumeration date
09/11/2023
Last updated
05/31/2025
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