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TENINO FAMILY PRACTICE PLLC NPI 1487056511


NPI Information

NPI: 1487056511
Provider Name: TENINO FAMILY PRACTICE PLLC

Other Name: LEYTON JUMP MD SOLE MEMBER

Classification: Family Medicine - 207QA0000X
Entity Type: Organization

Specialization: Adolescent Medicine

Address:
273 SUSSEX AVE E
TENINO, WA
ZIP 98589
Phone: (360) 264-5665
Get Directions

TENINO FAMILY PRACTICE PLLC is an adolescent medicine family medicine in Tenino, WA. The provider is a family medicine physician with multidisciplinary training in the unique physical, psychological and social characteristics of adolescents and their health care problems and needs. TENINO FAMILY PRACTICE PLLC NPI is 1487056511. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is Leyton Jump Md Sole Member.

The provider's business location address is:

273 SUSSEX AVE E
TENINO, WA
ZIP 98589-359
Phone: (360) 264-5665
Fax: (360) 264-5666

The provider's authorized official is Leyton Endicott Jump .
The authorized official title is Sole Member and has the following contact phone number (360) 264-5665.

The enumeration date for this NPI number is 9/19/2014 and was last updated on 9/19/2014.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207QA0000XFamily MedicineAdolescent MedicineMD00022762WASHINGTONYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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