Provider Demographics
NPI:1518417302
Name:PILKINTON, JENNIFER S (BSW, CDPT)
Entity Type:Individual
Prefix:
First Name:JENNIFER
Middle Name:S
Last Name:PILKINTON
Suffix:
Gender:F
Credentials:BSW, CDPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:27322 N COTTONWOOD RD
Mailing Address - Street 2:
Mailing Address - City:CHATTAROY
Mailing Address - State:WA
Mailing Address - Zip Code:99003-8689
Mailing Address - Country:US
Mailing Address - Phone:509-220-4686
Mailing Address - Fax:
Practice Address - Street 1:1713 W TIETON AVE
Practice Address - Street 2:
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99208-5083
Practice Address - Country:US
Practice Address - Phone:509-220-4686
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-10-05
Last Update Date:2019-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator