Healthcare Provider Details

I. General information

NPI: 1295995769
Provider Name (Legal Business Name): AIMEE C JENNINGS CPNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/09/2008
Last Update Date: 01/27/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4800 SAND POINT WAY NE, SEATTLE CHILDREN'S HOSPITAL FA-2.112
SEATTLE WA
98145-5005
US

IV. Provider business mailing address

4800 SAND POINT WAY NE, SEATTLE CHILDREN'S HOSPITAL FA-2.112
SEATTLE WA
98145-5005
US

V. Phone/Fax

Practice location:
  • Phone: 206-987-2000
  • Fax: 206-987-3866
Mailing address:
  • Phone: 206-987-2000
  • Fax: 317-274-2940

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0222X
TaxonomyCritical Care Pediatric Nurse Practitioner
License NumberAP60492771
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: