Individual
JENNIFER M. WITTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1304 FAWCETT AVE, SUITE 100, TACOMA, WA 98402-1911
(253) 761-4200
(253) 761-4201
Mailing address
1304 FAWCETT AVE, SUITE 100, TACOMA, WA 98402-1911
(253) 761-4200
(253) 761-4201
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
20278
CA
363LF0000X
Family Nurse Practitioner
Primary
AP60255926
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2016165
—
WA
01
—
336824
LNI
WA
01
—
338122
LNI
WA
01
—
338125
LNI
WA
01
—
338127
LNI
WA
01
—
338129
LNI
WA
Enumeration date
12/06/2010
Last updated
09/03/2024
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