Womens Mobile Medical - LLC
Nurse Practitioner, Women's Health in Lakewood, WA. Organization (NPI-2).
NPI number1871190835
StatusActive
Last updated in NPPESSep 2, 2025
Details
- NPI
- 1871190835
- Entity type
- Organization (NPI-2)
- Legal business name
- Womens Mobile Medical - LLC
- Organization subpart
- No
- Enumeration date
- Oct 2, 2020
- Certification date
- Sep 28, 2024
- Last updated
- Sep 2, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LW0102X | Nurse Practitioner, Women's Health | – | – | Yes |
Other names
- The Women'S Clinic (Doing Business As)
Practice location
11318 Bridgeport Way Sw Ste ALakewood, WA 98499-3054
Phone 253-380-8905 · Fax 253-353-7334
Mailing address
11318 Bridgeport Way Sw Ste ALakewood, WA 98499-3054
Phone 253-380-8905 · Fax 253-353-7334
Authorized official
Jessica Michelle Kirkwood
Ceo, Medical Director, Arnp
2533808905
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