Individual
JEAN M WESSEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
5318 CHIEF BROWN LN, DARRINGTON, WA 98241-9420
(360) 436-2210
(360) 436-2226
Mailing address
5318 CHIEF BROWN LN, DARRINGTON, WA 98241-9420
(360) 436-2210
(360) 436-2226
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
RN00046951
WA
163WG0000X
General Practice Registered Nurse
RN00046951
WA
363LC1500X
Community Health Nurse Practitioner
AP30006120
WA
363LF0000X
Family Nurse Practitioner
Primary
AP30006120
WA
363LP2300X
Primary Care Nurse Practitioner
AP30006120
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9512KE
REGENCE BLUESHIELD
WA
05
—
9645573
—
WA
Enumeration date
01/18/2006
Last updated
10/05/2011
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