Individual
JESSICA MYENDU KABALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1100 9TH AVE, SEATTLE, WA 98101-2756
(206) 223-2319
(206) 341-1405
Mailing address
1100 9TH AVE, SEATTLE, WA 98101-2756
(206) 223-2319
(206) 341-1405
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
60696072
WA
363L00000X
Nurse Practitioner
Primary
31936
TN
363L00000X
Nurse Practitioner
AP61084558
WA
Other
Enumeration date
02/21/2020
Last updated
01/17/2023
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