Individual
JESSICA HENNEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
13451 SE 36TH ST, BELLEVUE, WA 98006-1475
(425) 562-1337
Mailing address
13451 SE 36TH ST, BELLEVUE, WA 98006-1475
(425) 562-1337
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP 60474389
WA
Other
Enumeration date
11/25/2014
Last updated
05/12/2021
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