Individual
MS. JENNIFER LYNN KREISS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, MN, CPNP
Contact information
Practice address
4800 SAND POINT WAY NE, MS-W7729, SEATTLE, WA 98105-3901
(206) 987-1075
(206) 987-3925
Mailing address
220 NW 46TH ST, SEATTLE, WA 98107-4340
(206) 781-8146
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
AP30003938
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4300933
—
MT
05
—
806597800
—
ID
05
—
9627613
—
WA
Enumeration date
07/18/2006
Last updated
07/08/2007
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