Healthcare Provider Details
I. General information
NPI: 1295214740
Provider Name (Legal Business Name): JESSICA B GEE ND, DAC, AEMP, MPH
Entity Type: Individual
Gender:
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 08/07/2018
Last Update Date: 08/26/2024
Certification Date: 08/26/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3601 FREMONT AVE N STE 209
SEATTLE WA
98103-8753
US
IV. Provider business mailing address
700 NW 42ND ST STE 313
SEATTLE WA
98107-4508
US
V. Phone/Fax
- Phone: 425-318-9561
- Fax: 206-299-4800
- Phone: 415-857-2078
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 171100000X |
| Taxonomy | Acupuncturist |
| License Number | AC61568365 |
| License Number State | WA |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 172V00000X |
| Taxonomy | Community Health Worker |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 175L00000X |
| Taxonomy | Homeopath |
| License Number | |
| License Number State | |
| # 4 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 175F00000X |
| Taxonomy | Naturopath |
| License Number | NT60897091 |
| License Number State | WA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: