Kirkwood, Jessica Michelle

Kirkwood, Jessica Michelle is an individual health care provider with primary practice located at 11318 Bridgeport Way Sw Ste A , Lakewood WA 98499-3054. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Women's Health. Physician Assistants & Advanced Practice Nursing Providers / Women's Health is her primary health care specialty. Kirkwood, Jessica Michelle can be contacted via phone (253) 380-8905.

Contact Information

Primary practice address
11318 Bridgeport Way Sw Ste A Lakewood WA 98499-3054
Phone: (253) 380-8905
Fax: (253) 353-7334
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X AP60590540 Washington
Physician Assistants & Advanced Practice Nursing Providers / Women's Health 363LW0102X AP60590540 Washington

Profile Details

NPI number 1326403536
LBN Legal business name Kirkwood, Jessica Michelle
Credentials MSN, RN, WHNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 15th, 2015
Last updated May 29th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1326403536 NPPES
Washington MEDICAID 2135058

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