Healthcare Provider Details

I. General information

NPI: 1255513198
Provider Name (Legal Business Name): JESSICA FIERST ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: JESSICA FAHEY

II. Dates (important events)

Enumeration Date: 12/03/2007
Last Update Date: 12/10/2025
Certification Date: 12/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2607 BRIDGEPORT WAY W STE 1C
UNIVERSITY PLACE WA
98466-4700
US

IV. Provider business mailing address

5114 POINT FOSDICK DR STE F#220
GIG HARBOR WA
98335-1734
US

V. Phone/Fax

Practice location:
  • Phone: 253-330-7204
  • Fax: 253-387-8151
Mailing address:
  • Phone: 253-330-7204
  • Fax: 253-387-8151

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAP30007952
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: