Vallidis, Jennifer M

Vallidis, Jennifer M is an individual health care provider with primary practice located at 1959 Ne Pacific St , Seattle WA 98195-3586. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Vallidis, Jennifer M can be contacted via phone (206) 520-5000.

Contact Information

Primary practice address
1959 Ne Pacific St Seattle WA 98195-3586
Phone: (206) 520-5000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X AP60140545 Washington
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X AP60120156 Washington

Profile Details

NPI number 1770520454
LBN Legal business name Vallidis, Jennifer M
Credentials ARNP, CNM, FNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 1st, 2006
Last updated Feb 9th, 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 1770520454 NPPES
Washington MEDICAID 1770520454

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