Provider Demographics
NPI:1598967689
Name:PIANTINO, JESSICA HENRI (MD)
Entity Type:Individual
Prefix:
First Name:JESSICA
Middle Name:HENRI
Last Name:PIANTINO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:4800 SAND POINT WAY NE
Mailing Address - Street 2:M2-12
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98105-3901
Mailing Address - Country:US
Mailing Address - Phone:206-987-2675
Mailing Address - Fax:206-987-2685
Practice Address - Street 1:4800 SAND POINT WAY NE
Practice Address - Street 2:M2-12
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98105-3901
Practice Address - Country:US
Practice Address - Phone:206-987-2675
Practice Address - Fax:206-987-2685
Is Sole Proprietor?:No
Enumeration Date:2007-06-01
Last Update Date:2022-02-04
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
WAMD603472712080N0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080N0001XAllopathic & Osteopathic PhysiciansPediatricsNeonatal-Perinatal Medicine