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General NPI Number Information
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NPI Number | 1396610317
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Entity Type | Individual
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Provider Name | JENNIFER HELEN SARGENT DNP, ACNPC-AG
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Gender | Female
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Dates
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Enumeration Date | 10/08/2025
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Last Update Date | 10/08/2025
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Provider Practice Location Address
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Address Line | 401 15TH AVE SE
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City | PUYALLUP
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State | WA
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Zip | 98372-3795
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Country | US
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Telephone | 253-697-4000
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Fax |
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Provider Business Mailing Address
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Address Line | 3608 19TH AVENUE CT SE
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City | PUYALLUP
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State | WA
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Zip | 98372-4229
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | AP61662657
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License Number State | WA
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