Provider Demographics
NPI:1952668196
Name:DINES, JENNIFER NICOLE (MD)
Entity Type:Individual
Prefix:DR
First Name:JENNIFER
Middle Name:NICOLE
Last Name:DINES
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:HEALTH SCIENCES BLDG K-253
Mailing Address - Street 2:BOX 357720
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98195-7720
Mailing Address - Country:US
Mailing Address - Phone:206-616-4521
Mailing Address - Fax:206-543-3050
Practice Address - Street 1:HEALTH SCIENCES BLDG K-253
Practice Address - Street 2:BOX 357720
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98195-7720
Practice Address - Country:US
Practice Address - Phone:206-616-4521
Practice Address - Fax:206-543-3050
Is Sole Proprietor?:No
Enumeration Date:2012-04-12
Last Update Date:2016-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program