Individual
MARY LUCILLE JANSMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
600 N. BROADWAY, LONGVIEW, WA 98632-0302
(360) 414-2177
(360) 414-2210
Mailing address
PO BOX 3002, 600 N. BROADWAY, LONGVIEW, WA 98632-0302
(360) 414-2177
(360) 414-2210
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP30005737
WA
363LF0000X
Family Nurse Practitioner
AP30005737
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0220991
LABOR & IND.
WA
01
—
8944406
CRIME VICTIMS
WA
05
—
9652611
—
WA
Enumeration date
11/16/2006
Last updated
11/14/2007
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us