Individual
LAUREN B JAYE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
941 S 4TH ST, LA CONNER, WA 98257-4717
(360) 420-7413
(888) 890-1130
Mailing address
1617 E DIVISION ST, MOUNT VERNON, WA 98274-4503
(360) 420-7413
(888) 890-1130
Taxonomy
Speciality
Code
Description
License number
State
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
AP30001875
WA
367A00000X
Advanced Practice Midwife
Primary
AP30001875
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1750433223
—
WA
01
—
266646
LABOR & INDUSTRIES
WA
05
—
9603366
—
WA
Enumeration date
01/17/2007
Last updated
04/11/2017
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