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NPI Code Detail

MEDICARE: MRS. JENA LEANNA PIERCE APRN, PMHNP-BC

MEDICARE: MRS. JENA LEANNA PIERCE APRN, PMHNP-BC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LP0808XPsychiatric/Mental Health Nurse Practitioner70091000WA

General Provider Information

NPI Number : 1033602834
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. JENA LEANNA PIERCE APRN, PMHNP-BC
Provider Business Mailing Address
First Line : 884 W PARK AVE
Second Line :
City : PORT TOWNSEND
State : WA
Zip : 98368-2273
Country : US
Telephone Number : 360-385-0321
Fax Number :
Provider Business Practice Location Address
First Line : 884 W PARK AVE
Second Line :
City : PORT TOWNSEND
State : WA
Zip : 98368-2273
Country : US
Telephone Number : 360-385-0321
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/07/2018
Last Update Date : 03/05/2026

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