Provider Demographics
NPI:1043614506
Name:MCGUIRE, JESSIKA LYNN
Entity Type:Individual
Prefix:MS
First Name:JESSIKA
Middle Name:LYNN
Last Name:MCGUIRE
Suffix:
Gender:F
Credentials:
Other - Prefix:MS
Other - First Name:JESSICA
Other - Middle Name:LYNN
Other - Last Name:MCGUIRE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3801 176TH PL NE
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:WA
Mailing Address - Zip Code:98223-7748
Mailing Address - Country:US
Mailing Address - Phone:425-315-4818
Mailing Address - Fax:
Practice Address - Street 1:3801 176TH PL NE
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:WA
Practice Address - Zip Code:98223-7748
Practice Address - Country:US
Practice Address - Phone:425-315-4818
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-10-13
Last Update Date:2014-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246RP1900XTechnologists, Technicians & Other Technical Service ProvidersTechnician, PathologyPhlebotomy