Provider Demographics
NPI:1043096183
Name:MCKEE, JENNIFER (NBC-HWC)
Entity Type:Individual
Prefix:
First Name:JENNIFER
Middle Name:
Last Name:MCKEE
Suffix:
Gender:F
Credentials:NBC-HWC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9214 MORNING SIDE DR NW
Mailing Address - Street 2:
Mailing Address - City:SILVERDALE
Mailing Address - State:WA
Mailing Address - Zip Code:98383-9230
Mailing Address - Country:US
Mailing Address - Phone:360-286-6774
Mailing Address - Fax:
Practice Address - Street 1:9214 MORNING SIDE DR NW
Practice Address - Street 2:
Practice Address - City:SILVERDALE
Practice Address - State:WA
Practice Address - Zip Code:98383-9230
Practice Address - Country:US
Practice Address - Phone:360-286-6774
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-09-05
Last Update Date:2023-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171400000XOther Service ProvidersHealth & Wellness Coach