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Organization

WOMENS MOBILE MEDICAL - LLC

Active
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Organization

WOMENS MOBILE MEDICAL - LLC

Active
Other names
The Women's Clinic
Organization subpart
No

Provider details

NPI number
Authorized official
JESSICA MICHELLE KIRKWOOD ARNP, WHNP-BC (CEO, MEDICAL DIRECTOR, ARNP)
(253) 380-8905
Entity
Organization

Contact information

Practice address
11318 BRIDGEPORT WAY SW STE A, LAKEWOOD, WA 98499-3054
(253) 380-8905
(253) 353-7334
Mailing address
11318 BRIDGEPORT WAY SW STE A, LAKEWOOD, WA 98499-3054
(253) 380-8905
(253) 353-7334

Taxonomy

Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2135058
WA
Enumeration date
10/02/2020
Last updated
09/02/2025
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