Individual
JENNIFER ALTMILLER KAUFMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
625 6TH ST, CLARKSTON, WA 99403-2010
(509) 758-2200
(509) 758-6511
Mailing address
625 6TH ST, CLARKSTON, WA 99403-2010
(509) 758-2200
(509) 758-6511
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP60456289
WA
363L00000X
Nurse Practitioner
NP 829A
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AP60456289
WA ARNP
WA
01
—
N-34430
RN LICENSE
ID
Enumeration date
03/16/2007
Last updated
01/09/2024
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