Provider Demographics
NPI:1497393193
Name:BILGER, JESSICA LYN (ARNP)
Entity Type:Individual
Prefix:DR
First Name:JESSICA
Middle Name:LYN
Last Name:BILGER
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:DR
Other - First Name:JESSICA
Other - Middle Name:L
Other - Last Name:HUGHES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:ARNP
Mailing Address - Street 1:102 KRESTVIEW LN
Mailing Address - Street 2:
Mailing Address - City:WOODLAND
Mailing Address - State:WA
Mailing Address - Zip Code:98674-9695
Mailing Address - Country:US
Mailing Address - Phone:360-768-7912
Mailing Address - Fax:
Practice Address - Street 1:2211 NE 139TH ST
Practice Address - Street 2:
Practice Address - City:VANCOUVER
Practice Address - State:WA
Practice Address - Zip Code:98686-2742
Practice Address - Country:US
Practice Address - Phone:360-487-1000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-12-13
Last Update Date:2019-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAP60949879363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily