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Individual

JESSICA MIRANDA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ARNP

Contact information

Practice address
1112 6TH AVE STE 100, TACOMA, WA 98405-4048
(253) 272-8664
(253) 627-7880
Mailing address
1112 6TH AVE STE 100, TACOMA, WA 98405-4048
(253) 272-8664
(253) 627-7880

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
AP61372598
WA
363LG0600X
Gerontology Nurse Practitioner
Primary
AP61372598
WA

Other

Enumeration date
10/24/2022
Last updated
01/05/2023
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