Jessica Diane Mckeown Ryan, ARNP
Nurse Practitioner, Family in Rochester, WA. Individual provider (NPI-1).
NPI number1407322670
StatusActive
Last updated in NPPESMay 21, 2021
Details
- NPI
- 1407322670
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Jessica Diane Mckeown Ryan
- Credential
- ARNP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 15, 2018
- Certification date
- May 21, 2021
- Last updated
- May 21, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | AP60909311 | WA | Yes |
Practice location
18313 Paulson St SwRochester, WA 98579-9262
Phone 360-827-8400 · Fax 360-273-7301
Mailing address
18313 Paulson St SwRochester, WA 98579-9262
Phone 360-827-8400 · Fax 360-273-7301
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