Provider Demographics
NPI:1508833013
Name:HODGINS-HOWARTH, JENNY (ARNP)
Entity Type:Individual
Prefix:
First Name:JENNY
Middle Name:
Last Name:HODGINS-HOWARTH
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:JENNY
Other - Middle Name:
Other - Last Name:HOWARTH
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:ARNP
Mailing Address - Street 1:1145 BROADWAY
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98122-4201
Mailing Address - Country:US
Mailing Address - Phone:206-329-1760
Mailing Address - Fax:
Practice Address - Street 1:1229 MADISON ST
Practice Address - Street 2:SUITE 1600
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98104-3586
Practice Address - Country:US
Practice Address - Phone:206-860-4541
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-03-02
Last Update Date:2009-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAP30003155363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA9630559Medicaid
WAQ41579Medicare UPIN
WA8852344Medicare ID - Type Unspecified