Jessica Madelaine Needham
Nurse Practitioner - Critical Care Medicine
747 Broadway
Seattle
, Washington 98122-4379
Jessica Madelaine Needham
Nurse Practitioner - Critical Care Medicine
747 Broadway
Seattle
, Washington 98122-4379
(206) 568-7043
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About
Features
Specialties
- Nurse Practitioner - Critical Care Medicine
Languages spoken
- English
Location
First Address
- Jessica Madelaine Needham
- Po Box 25608
- Salt Lake City, UT
- Zip : 84125-0608
- Fax : (206) 568-7043
- Phone : (206) 320-4476
Second Address
- Jessica Madelaine Needham
- 747 Broadway
- Seattle, WA
- Zip : 98122-4379
- Fax : (206) 215-6364
- Phone : (206) 215-2520
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LC0200X | Nurse Practitioner - Critical Care Medicine | AP61094027 | WA |
National Provider Identifier
| NPI | 1558766915 |
|---|---|
| Provider Name | Jessica Madelaine Needham |
| First Address | Salt Lake City, UT 84125-0608 |
| Second Address | Seattle, WA 98122-4379 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 28/10/2014 |
| Last Update Date | 21/12/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 1558766915 | (05) | WA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.