Jenelle Christine Wicker in Bellevue - Specialist
Jenelle Christine Wicker - NPI 1689835761
Jenelle Christine Wicker is a Specialist in Bellevue, Washington. Jenelle Christine Wicker practices all healthcare services and medical treatments related to Specialist. The NPI Number for Jenelle Christine Wicker is 1689835761. The last update date is 2008-06-20.
Jenelle Christine Wicker's current location address is 1605 116th Ave Ne Ste 106, Bellevue, Washington. You can contact this provider via phone number 4254675955 and fax number 4254675839. The mailing address for Jenelle Christine Wicker is 1605 116th Ave Ne Ste 106, Bellevue, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jenelle Christine Wicker |
|---|---|
| Address | 1605 116th Ave Ne Ste 106, Bellevue, Washington |
| Phone Number | 4254675955 |
| Fax Number | 4254675839 |
| Sole Proprietor | Y |
| Credentials | LMP |
NPI Number Detail
| NPI Number | 1689835761 |
|---|---|
| Provider Enumeration Date | 2008-06-20 |
| Last Updated Date | 2008-06-20 |
Provider Mailing Address Detail
| Address | 1605 116th Ave Ne Ste 106 |
|---|---|
| City | Bellevue |
| State | Washington (WA) |
| Post Code | 980043034 |
| Phone Number | 4254675955 |
| Fax Number | 4254675839 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | MA0023791 |
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Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
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What is the unique identifier code issued to Jenelle Christine Wicker by the Centers for Medicare & Medicaid Services (CMS)?
The Jenelle Christine Wicker has been assigned the NPI (National Provider Identifier) 1689835761. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Where is the Jenelle Christine Wicker located?
The Jenelle Christine Wicker is located at 1605 116Th Ave Ne Ste 106, Bellevue, WA 980043034.
What is Jenelle Christine Wicker's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Jenelle Christine Wicker is Specialist, and the taxonomy classification code that categorizes this area of expertise is 174400000X.
When was the Jenelle Christine Wicker's 1689835761 issued?
The Jenelle Christine Wicker's 1689835761 was issued on 2008-06-20.
As of what date was the information regarding Jenelle Christine Wicker, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Jenelle Christine Wicker, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2008-06-20.
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