Healthcare Provider Details

I. General information

NPI: 1629907076
Provider Name (Legal Business Name): JENNIFER SCROGGIE PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/13/2026
Last Update Date: 05/13/2026
Certification Date: 05/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6563 MCDONALD AVE STE A
GIG HARBOR WA
98335-1395
US

IV. Provider business mailing address

6563 MCDONALD AVE STE A
GIG HARBOR WA
98335-1395
US

V. Phone/Fax

Practice location:
  • Phone: 615-429-7326
  • Fax:
Mailing address:
  • Phone: 615-429-7326
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: KATE TEAGUE
Title or Position: CREDENTIALING
Credential:
Phone: 360-209-4216