JEAN CARSON FLETCHER ARNP
NPI 1659367860
Nurse Practitioner - Women's Health in Forks, WA
Active since September 22, 2005
About Jean Carson Fletcher Arnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JEAN CARSON FLETCHER ARNP (NPI 1659367860) is an individual women's health provider in Forks, Washington, licensed in Washington (AP30000151) and active in the NPI registry since September 2005.
NPPES Registry Identity
NPI1659367860
Entity TypeIndividualFemale
Primary Taxonomy363LW0102X
Provider Legal NameJEAN CARSON FLETCHERCredential: ARNP
Location Address140 C STForks, WA 98331-9024
Mailing Address1962 Owl Creek RdForks, WA 98331-9474 · (360) 374-5627
Phone(360) 374-3514
Fax(360) 374-5464
Sole ProprietorYes
Enumeration DateSeptember 22, 2005
Last NPPES UpdateSeptember 23, 2011
✔ NPI 1659367860 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyNurse Practitioner · Women's HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LW0102X
License✔ Licensed in WA · AP30000151
140 C ST, Forks, WA 98331
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1659367860, enumerated as an "individual" on September 22, 2005.
The provider is located at 140 C ST FORKS, WA 98331 and the phone number is (360) 374-3514.
Nurse Practitioner with taxonomy code 363LW0102X and a focus in Women's Health.
