Provider Demographics
NPI:1700420908
Name:DAVIS, JENNIFER ARPIN (RD, CD)
Entity Type:Individual
Prefix:
First Name:JENNIFER
Middle Name:ARPIN
Last Name:DAVIS
Suffix:
Gender:F
Credentials:RD, CD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25742 104TH AVE SE
Mailing Address - Street 2:
Mailing Address - City:KENT
Mailing Address - State:WA
Mailing Address - Zip Code:98030-7691
Mailing Address - Country:US
Mailing Address - Phone:406-698-0165
Mailing Address - Fax:
Practice Address - Street 1:9934 8TH AVE SW
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98106-3036
Practice Address - Country:US
Practice Address - Phone:206-477-0000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-10-30
Last Update Date:2023-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
86147577133V00000X
WADI60986274133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered