Dr. Jennifer Lyn Bard, MD
Family Medicine in Longview, WA. Individual provider (NPI-1).
NPI number1346348596
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1346348596
- Entity type
- Individual (NPI-1)
- Name
- Dr. Jennifer Lyn Bard
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 20, 2006
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | WA MD00036509 | WA | Yes |
Other names
- Jennifer Lyn Annett (Former Name)
Practice location
1230 7th AveLongview, WA 98632-3166
Phone 360-575-4801
Mailing address
272 Pare RdKelso, WA 98626-9639
Phone 360-423-9263
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