Worsley, Jennifer L
Worsley, Jennifer L is an individual health care provider with primary practice located at 9537 Gravelly Lake Dr Sw Ste E10 , Lakewood WA 98499-1513. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Worsley, Jennifer L can be contacted via phone (253) 984-2000.Contact Information
Primary practice address
9537 Gravelly Lake Dr Sw Ste E10
Lakewood WA 98499-1513
Phone: (253) 984-2000
Fax: (253) 426-6344
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | AP60585208 | Washington |
Profile Details
| NPI number | 1104201623 |
|---|---|
| LBN Legal business name | Worsley, Jennifer L |
| Credentials | ARNP FNP-C |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 27th, 2015 |
| Last updated | Jan 18th, 2021 - about 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1104201623 | NPPES |
| Washington | MEDICAID | 2047869 |
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