Healthcare Provider Details

I. General information

NPI: 1710433859
Provider Name (Legal Business Name): JENNIFER ANNE SAWMILLER P.A.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/29/2016
Last Update Date: 07/25/2025
Certification Date: 07/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

825 SE BISHOP BLVD STE 201
PULLMAN WA
99163-5517
US

IV. Provider business mailing address

825 SE BISHOP BLVD STE 201
PULLMAN WA
99163-5517
US

V. Phone/Fax

Practice location:
  • Phone: 509-336-7577
  • Fax: 509-715-2126
Mailing address:
  • Phone: 509-336-7577
  • Fax: 509-715-2126

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License NumberPA-1739
License Number StateID
# 2
Primary TaxonomyY
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License NumberMS6827680
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: