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Individual

MRS. JENNIFER SAN FISHER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
1814 BEACON CT NE, TACOMA, WA 98422-3469
(206) 679-3558
Mailing address
1814 BEACON CT NE, TACOMA, WA 98422-3469
(206) 679-3558

Taxonomy

Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
0001167107
VA
367500000X
Certified Registered Nurse Anesthetist
AP60271083
VA
367500000X
Certified Registered Nurse Anesthetist
Primary
AP60271083
WA
367500000X
Certified Registered Nurse Anesthetist
RN60247840
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
AP60271083
LICENSE
01
RN60247840
LICENSE
WA
Enumeration date
11/14/2006
Last updated
02/17/2026
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