Individual
MS. JENNIFER MICHELLE BERRY BUCKINGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
MADIGAN ARMY MEDICAL CENTER, 9040 JACKSON AVE, TACOMA, WA 98431
(325) 654-3223
Mailing address
MADIGAN ARMY MEDICAL CENTER, 9040 JACKSON AVE, TACOMA, WA 98431
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1942459599
MAMC
—
Enumeration date
09/18/2008
Last updated
09/17/2020
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