Individual
JERI S DONAHUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP NP-C
Contact information
Practice address
2901 BRIDGEPORT WAY W, UNIVERSITY PLACE, WA 98466-4614
(253) 534-7000
Mailing address
2901 BRIDGEPORT WAY W, UNIVERSITY PLACE, WA 98466-4614
(253) 534-7000
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP60151024
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2006423
—
WA
Enumeration date
04/13/2010
Last updated
12/02/2020
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