Provider Demographics
NPI:1265678346
Name:HESS, JOANN ALSTON (REGISTERED NURSE)
Entity Type:Individual
Prefix:
First Name:JOANN
Middle Name:ALSTON
Last Name:HESS
Suffix:
Gender:F
Credentials:REGISTERED NURSE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3020 RUCKER AVENUE
Mailing Address - Street 2:SUITE 203
Mailing Address - City:EVERETT
Mailing Address - State:WA
Mailing Address - Zip Code:98201-3900
Mailing Address - Country:US
Mailing Address - Phone:425-339-8644
Mailing Address - Fax:425-339-5255
Practice Address - Street 1:3020 RUCKER AVE
Practice Address - Street 2:SUITE 203
Practice Address - City:EVERETT
Practice Address - State:WA
Practice Address - Zip Code:98201-3900
Practice Address - Country:US
Practice Address - Phone:425-339-8644
Practice Address - Fax:425-339-5255
Is Sole Proprietor?:No
Enumeration Date:2008-12-19
Last Update Date:2008-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WARN00044560163WM0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WM0102XNursing Service ProvidersRegistered NurseMaternal Newborn