Healthcare Provider Details

I. General information

NPI: 1881858611
Provider Name (Legal Business Name): JENNIFER L NOELKE CNM, MSN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: JENNA L HARDY

II. Dates (important events)

Enumeration Date: 07/10/2008
Last Update Date: 05/29/2026
Certification Date: 05/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11511 NE 10TH ST
BELLEVUE WA
98004-8578
US

IV. Provider business mailing address

11511 NE 10TH ST
BELLEVUE WA
98004-8578
US

V. Phone/Fax

Practice location:
  • Phone: 425-502-3000
  • Fax: 844-620-1839
Mailing address:
  • Phone: 425-502-3000
  • Fax: 844-620-1839

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License NumberAP60920821
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN60766084
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: