Individual
JANA PEDERSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DNP, FNP-C
Contact information
Practice address
1410 N MULLAN RD STE 200, SPOKANE VALLEY, WA 99206-4046
(509) 838-1188
Mailing address
1410 N MULLAN RD STE 200, SPOKANE VLY, WA 99206-4046
(509) 251-2087
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
59364
ID
363L00000X
Nurse Practitioner
Primary
AP60998181
WA
Other
Enumeration date
11/04/2019
Last updated
08/01/2023
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