Individual
JENNIFER FRESH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP, ARNP
Contact information
Practice address
7700 NE 26TH AVE, VANCOUVER, WA 98665-0672
(360) 397-8228
(360) 353-9440
Mailing address
PO BOX 2429, LONGVIEW, WA 98632-8486
(360) 353-9494
(360) 353-9440
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
201507213RN
OR
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP61193529
WA
Other
Enumeration date
04/05/2016
Last updated
09/16/2021
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