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General NPI Number Information
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NPI Number | 1710504311
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Entity Type | Individual
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Provider Name | JESSICA LEE JOHNSON ARNP, PMHNP-BC
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Gender | Female
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Dates
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Enumeration Date | 06/30/2020
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Last Update Date | 02/26/2026
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Provider Practice Location Address
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Address Line | 115 E RAILROAD AVE STE 203
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City | PORT ANGELES
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State | WA
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Zip | 98362-2925
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Country | US
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Telephone | 425-400-8602
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Fax | 425-433-9177
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Provider Business Mailing Address
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Address Line | 132 DEER PARK RD # 21
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City | PORT ANGELES
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State | WA
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Zip | 98362-7185
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Country | US
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Telephone | 425-400-8602
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Fax | 425-433-9177
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | AP.61273054
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | APN.0998411-NP
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License Number State | CO
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Taxonomy #3
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN.1664699
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License Number State | CO
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Taxonomy #4
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN60964516
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License Number State | WA
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