Healthcare Provider Details

I. General information

NPI: 1700824570
Provider Name (Legal Business Name): JENNIFER ENGLAND MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/03/2006
Last Update Date: 08/18/2026
Certification Date: 08/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1003 KOALA DR
OMAK WA
98841-9247
US

IV. Provider business mailing address

PO BOX 1340
OKANOGAN WA
98840-1340
US

V. Phone/Fax

Practice location:
  • Phone: 800-600-2129
  • Fax: 855-204-8902
Mailing address:
  • Phone: 509-422-7670
  • Fax: 509-422-7668

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number036162442
License Number StateIL
# 2
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberMD.MD.61431687
License Number StateWA
# 3
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberDR.0041015
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: