Niemi, Jennifer Shannon

Niemi, Jennifer Shannon is an individual health care provider with primary practice located at 19020 33Rd Ave W Ste 210 , Lynnwood WA 98036-4748. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Niemi, Jennifer Shannon can be contacted via phone (425) 563-1500.

Contact Information

Primary practice address
19020 33Rd Ave W Ste 210 Lynnwood WA 98036-4748
Phone: (425) 563-1500
Fax: (425) 563-1501
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 22832A Idaho
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X AP60209815 Washington

Profile Details

NPI number 1598054249
LBN Legal business name Niemi, Jennifer Shannon
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 4th, 2011
Last updated Jul 21st, 2022 - about 4 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 1598054249 NPPES
Washington MEDICAID 2021864

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