Individual
JENNIFER ANN CLINGENPEEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
200 LILLY RD NE STE C, OLYMPIA, WA 98506-5080
(360) 688-7312
Mailing address
200 LILLY RD NE STE C, OLYMPIA, WA 98506-5080
(360) 688-7312
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP30007086
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9646464
—
WA
Enumeration date
10/18/2006
Last updated
10/21/2020
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