MEDICARE: JESSICA MEREDITH ARNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	AP61529986	WA

General Provider Information

NPI Number	:	1043074743
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JESSICA MEREDITH ARNP

Provider Business Mailing Address
First Line	:	10303 S CLEARVIEW LN
Second Line	:
City	:	KENNEWICK
State	:	WA
Zip	:	99338-2061
Country	:	US
Telephone Number	:	509-440-5612
Fax Number	:

Provider Business Practice Location Address
First Line	:	9221 SANDIFUR PKWY
Second Line	:
City	:	PASCO
State	:	WA
Zip	:	99301-9241
Country	:	US
Telephone Number	:	509-233-7546
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/13/2024
Last Update Date	:	04/05/2024

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Directions to “ JESSICA MEREDITH ARNP” Practice Location

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