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NPI Code Detail

MEDICARE: JESSICA TAMBORNINO

MEDICARE: JESSICA TAMBORNINO
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
1363A00000XPhysician Assistant

General Provider Information

NPI Number : 1841158532
Entity Type Code : Individual
Provider Name (Legal Business Name) : JESSICA TAMBORNINO
Provider Business Mailing Address
First Line : 4311 11TH AVE NE STE 200
Second Line :
City : SEATTLE
State : WA
Zip : 98105-6367
Country : US
Telephone Number : 206-616-4001
Fax Number :
Provider Business Practice Location Address
First Line : 4311 11TH AVE NE STE 200
Second Line :
City : SEATTLE
State : WA
Zip : 98105-6367
Country : US
Telephone Number : 206-616-4001
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/12/2026
Last Update Date : 01/12/2026

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Directions to “ JESSICA TAMBORNINO ” Practice Location

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