Individual
MS. JENNIFER CLAIRE PERMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
314 MARTIN LUTHER KING JR WAY, SUITE 400, TACOMA, WA 98405-4250
(253) 627-0666
(253) 627-2879
Mailing address
1105 N M ST, TACOMA, WA 98403-1524
(253) 404-1486
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
PA10003477
WA
363AM0700X
Medical Physician Assistant
Primary
PA10003477
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8416323
—
WA
01
—
PE6823
REGENCE BLUE SHIELD
WA
Enumeration date
02/12/2007
Last updated
04/21/2020
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