Provider Demographics
NPI:1720373806
Name:MCABEE, JESSICA ANGELINA (MD)
Entity Type:Individual
Prefix:
First Name:JESSICA
Middle Name:ANGELINA
Last Name:MCABEE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 34876
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98124-1876
Mailing Address - Country:US
Mailing Address - Phone:425-656-5412
Mailing Address - Fax:425-656-4096
Practice Address - Street 1:27203 216TH AVE SE
Practice Address - Street 2:STE D
Practice Address - City:MAPLE VALLEY
Practice Address - State:WA
Practice Address - Zip Code:98038-3273
Practice Address - Country:US
Practice Address - Phone:425-656-4100
Practice Address - Fax:425-656-4109
Is Sole Proprietor?:No
Enumeration Date:2011-06-16
Last Update Date:2014-07-18
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
WAMD60455580207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine