Provider Demographics
NPI:1447800438
Name:NOBLE, JESSICA (ARNP, FNP-C)
Entity Type:Individual
Prefix:
First Name:JESSICA
Middle Name:
Last Name:NOBLE
Suffix:
Gender:F
Credentials:ARNP, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8479 W CLEARWATER AVE BLDG 2
Mailing Address - Street 2:
Mailing Address - City:KENNEWICK
Mailing Address - State:WA
Mailing Address - Zip Code:99336-8628
Mailing Address - Country:US
Mailing Address - Phone:509-418-5231
Mailing Address - Fax:509-418-5238
Practice Address - Street 1:8479 W CLEARWATER AVE UNIT 120
Practice Address - Street 2:
Practice Address - City:KENNEWICK
Practice Address - State:WA
Practice Address - Zip Code:99336-8628
Practice Address - Country:US
Practice Address - Phone:509-418-5234
Practice Address - Fax:509-418-5238
Is Sole Proprietor?:No
Enumeration Date:2019-09-12
Last Update Date:2024-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAP61017584363LP2300X, 363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care