Individual
JENNIFER MARQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
4817 S DAYTON ST, KENNEWICK, WA 99337-5247
(509) 366-8866
Mailing address
4817 S DAYTON ST, KENNEWICK, WA 99337-5247
(509) 366-8866
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN60024409
WA
363L00000X
Nurse Practitioner
202005667NPPP
OR
363LA2100X
Acute Care Nurse Practitioner
Primary
AP61037936
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AP61037936
DEPARTMENT OF HEALTH
WA
01
—
RN60024409
DEPARTMENT OF HEALTH
WA
Enumeration date
12/03/2019
Last updated
08/25/2021
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