Provider Demographics
NPI:1164284709
Name:BJUR, JESSICA AMBER (RN)
Entity Type:Individual
Prefix:
First Name:JESSICA
Middle Name:AMBER
Last Name:BJUR
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:306 BOLIN DR
Mailing Address - Street 2:
Mailing Address - City:TOPPENISH
Mailing Address - State:WA
Mailing Address - Zip Code:98948-1644
Mailing Address - Country:US
Mailing Address - Phone:509-865-8262
Mailing Address - Fax:509-865-2178
Practice Address - Street 1:306 BOLIN DR
Practice Address - Street 2:
Practice Address - City:TOPPENISH
Practice Address - State:WA
Practice Address - Zip Code:98948-1644
Practice Address - Country:US
Practice Address - Phone:509-865-8262
Practice Address - Fax:509-865-2178
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-29
Last Update Date:2024-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WARN00148502163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse