Healthcare Provider Details

I. General information

NPI: 1811779002
Provider Name (Legal Business Name): JESSICA MARGARET SAXTON ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/20/2023
Last Update Date: 10/20/2023
Certification Date: 10/20/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

759 E HOLLAND AVE # 101
SPOKANE WA
99218-1257
US

IV. Provider business mailing address

815 E SANSON AVE
SPOKANE WA
99207-3377
US

V. Phone/Fax

Practice location:
  • Phone: 509-270-0065
  • Fax:
Mailing address:
  • Phone: 509-389-6995
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAP61498380
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: