Jeannette M Proctor, ARNP
Nurse Practitioner, Obstetrics & Gynecology in Seattle, WA. Individual provider (NPI-1).
NPI number1619081700
StatusActive
Last updated in NPPESAug 27, 2018
Details
- NPI
- 1619081700
- Entity type
- Individual (NPI-1)
- Name
- Jeannette M Proctor
- Credential
- ARNP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 18, 2006
- Last updated
- Aug 27, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LX0001X | Nurse Practitioner, Obstetrics & Gynecology | AP30006506 | WA | Yes |
| 163W00000X | Registered Nurse | RN00084815 | WA | |
| 363L00000X | Nurse Practitioner | AP30006506 | WA | |
| 363LW0102X | Nurse Practitioner, Women's Health | AP30006506 | WA |
Practice location
1101 Madison St Ste 700Seattle, WA 98104
Phone 206-215-6300 · Fax 206-215-6301
Mailing address
Po Box 25608Salt Lake City, UT 84125-0608
Phone 206-320-4476 · Fax 206-568-7043
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