Individual
JENNIFER W KOOISTRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, BSN
Contact information
Practice address
2009 NE 117TH ST STE 101, VANCOUVER, WA 98686-4022
(360) 566-9112
(360) 566-9133
Mailing address
2009 NE 117TH ST STE 101, VANCOUVER, WA 98686-4022
(360) 566-9112
(360) 566-9133
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN60758434
WA
Other
Enumeration date
06/20/2018
Last updated
06/20/2018
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