Provider Demographics
NPI:1588010532
Name:ALMAGUER, JESSICA (DNP, ARNP)
Entity type:Individual
Prefix:DR
First Name:JESSICA
Middle Name:
Last Name:ALMAGUER
Suffix:
Gender:F
Credentials:DNP, ARNP
Other - Prefix:
Other - First Name:JESSICA
Other - Middle Name:
Other - Last Name:WALL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:10121 W CLEARWATER AVE
Mailing Address - Street 2:
Mailing Address - City:KENNEWICK
Mailing Address - State:WA
Mailing Address - Zip Code:99336-3500
Mailing Address - Country:US
Mailing Address - Phone:509-783-4949
Mailing Address - Fax:509-783-6827
Practice Address - Street 1:10121 W CLEARWATER AVE
Practice Address - Street 2:
Practice Address - City:KENNEWICK
Practice Address - State:WA
Practice Address - Zip Code:99336-3500
Practice Address - Country:US
Practice Address - Phone:509-783-4949
Practice Address - Fax:509-783-6827
Is Sole Proprietor?:No
Enumeration Date:2016-05-09
Last Update Date:2016-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAML363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner