Provider Demographics
NPI:1376766659
Name:DAVIDSON, NATALIE JARBO (MSN-FNP)
Entity Type:Individual
Prefix:
First Name:NATALIE
Middle Name:JARBO
Last Name:DAVIDSON
Suffix:
Gender:F
Credentials:MSN-FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1616 CORNWALL AVE
Mailing Address - Street 2:
Mailing Address - City:BELLINGHAM
Mailing Address - State:WA
Mailing Address - Zip Code:98225-4648
Mailing Address - Country:US
Mailing Address - Phone:360-676-6177
Mailing Address - Fax:360-671-3574
Practice Address - Street 1:2030 BENSON RD
Practice Address - Street 2:
Practice Address - City:POINT ROBERTS
Practice Address - State:WA
Practice Address - Zip Code:98281-9206
Practice Address - Country:US
Practice Address - Phone:360-945-2580
Practice Address - Fax:360-945-2980
Is Sole Proprietor?:No
Enumeration Date:2007-04-11
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA16978363LF0000X
ID832A363LF0000X
WA16978363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily