JESSICA RENAE JURASIN


Address: 1100 Basich Blvd, Aberdeen, WA 98520-1066
Phone: 3605321950

JESSICA RENAE JURASIN (NPI# 1346623048) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1346623048
Entity Type Individual
Full Name JESSICA RENAE JURASIN
Other Name JESSICA RENAE KOSKI
Credential ARNP
Practice Address 1100 Basich Blvd
Aberdeen
WA 98520-1066
Practice Telephone 3605321950
Practice Fax Number 3605371177
Mailing Telephone 3605321950
Mailing Fax Number 3605371177
Enumeration Date 2015-06-30
Last Update Date 2015-06-30
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
AP60573932 WA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 1100 BASICH BLVD
City ABERDEEN
State WA
Zip Code 98520-1066

Providers in the same location

NPI Name Taxonomy Address Enumeration
1083721922 William Steven Hutton Pediatrics 1100 Basich Blvd, Aberdeen, WA 98520-1066 2006-08-24
1912130006 Sean R. White, Md, Ps Clinic/Center 1100 Basich Blvd, Aberdeen, WA 98520-1066 2009-08-24
1801985825 Rowena Caratao Inc. Ps Pediatrics 1100 Basich Blvd, Aberdeen, WA 98520-1066 2006-10-11
1427146570 Steve Hutton Md Ps Pediatrics 1100 Basich Blvd, Aberdeen, WA 98520-1066 2006-10-11
1417045576 Maryam Soltani Md Ps Pediatrics 1100 Basich Blvd, Aberdeen, WA 98520-1066 2006-10-11

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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

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1285043612 Vanessa N Satterwhite Nurse Practitioner 200 E Commerce St, Aberdeen, MS 39730-2712 2014-08-11
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Competitor

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City ABERDEEN
Zip Code 98520

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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