Provider Demographics
NPI:1962820332
Name:PLIMMER, JORJAN M (RN)
Entity Type:Individual
Prefix:
First Name:JORJAN
Middle Name:M
Last Name:PLIMMER
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6 WILKES RD
Mailing Address - Street 2:
Mailing Address - City:WHITE SALMON
Mailing Address - State:WA
Mailing Address - Zip Code:98672-8431
Mailing Address - Country:US
Mailing Address - Phone:509-493-1062
Mailing Address - Fax:
Practice Address - Street 1:6 WILKES RD
Practice Address - Street 2:
Practice Address - City:WHITE SALMON
Practice Address - State:WA
Practice Address - Zip Code:98672-8431
Practice Address - Country:US
Practice Address - Phone:509-493-1062
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-04-02
Last Update Date:2014-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WARN00119582163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse