Individual
JENNINE S THIGPEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
19507 HIGHWAY 99, LYNNWOOD, WA 98036-5236
(424) 640-0646
Mailing address
10714 13TH AVE W, EVERETT, WA 98204-3734
(205) 412-3520
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
60196180
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
60196180
WA STATE DEPT OF HEALTH
WA
Enumeration date
01/04/2021
Last updated
01/04/2021
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