Healthcare Provider Details

I. General information

NPI: 1972506814
Provider Name (Legal Business Name): JENNIFER KAY PARY MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: JENNIFER KAY IRELAND MD

II. Dates (important events)

Enumeration Date: 05/24/2005
Last Update Date: 02/27/2025
Certification Date: 02/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

801 W 5TH AVE STE 323
SPOKANE WA
99204-2800
US

IV. Provider business mailing address

801 W 5TH AVE STE 323
SPOKANE WA
99204-2800
US

V. Phone/Fax

Practice location:
  • Phone: 509-324-6464
  • Fax: 509-342-3236
Mailing address:
  • Phone: 509-324-6464
  • Fax: 509-342-3236

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084V0102X
TaxonomyVascular Neurology Physician
License NumberMD60325791
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: