MISS JENELLE CHRISTINE WICKER LMP NPI 1689835761

NPI Information

MISS Jenelle Christine Wicker, LMP is a specialist in Bellevue, WA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. MISS Jenelle Christine Wicker, LMP NPI is 1689835761. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1605 116TH AVE NE STE 106
BELLEVUE, WA
ZIP 98004-034
Phone: (425) 467-5955
Fax: (425) 467-5839

The enumeration date for this NPI number is 6/20/2008 and was last updated on 6/20/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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