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NPI Code Detail

MEDICARE: JESSICA ARDERN-WILSON, ND

MEDICARE: JESSICA ARDERN-WILSON, ND
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
1175F00000XNaturopath

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1902386923
Entity Type Code : Organization
Provider Name (Legal Business Name) : JESSICA ARDERN-WILSON, ND
Provider Business Mailing Address
First Line : 1313 E MAPLE ST STE 102
Second Line :
City : BELLINGHAM
State : WA
Zip : 98225-5755
Country : US
Telephone Number : 360-738-3230
Fax Number : 360-738-4955
Provider Business Practice Location Address
First Line : 1313 E MAPLE ST STE 102
Second Line :
City : BELLINGHAM
State : WA
Zip : 98225-5755
Country : US
Telephone Number : 360-738-3230
Fax Number : 360-738-4955
Authorized Official
Title or Position : OWNER/PRACTITIONER
Name : DR. JESSICA ARDERN-WILSON
Credential : ND
Telephone Number : 206-359-0434
Provider Enumeration Date : 08/20/2018
Last Update Date : 08/20/2018

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Directions to “JESSICA ARDERN-WILSON, ND ” Practice Location

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