Provider Demographics
NPI:1265206684
Name:SCOTT JAHNER PMH-ARNP-BC, PLLC
Entity type:Organization
Organization Name:SCOTT JAHNER PMH-ARNP-BC, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PSYCHIATRIC ARNP
Authorized Official - Prefix:
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:
Authorized Official - Last Name:JAHNER
Authorized Official - Suffix:
Authorized Official - Credentials:ARNP
Authorized Official - Phone:253-340-5040
Mailing Address - Street 1:2872 81ST AVENUE CT E
Mailing Address - Street 2:
Mailing Address - City:EDGEWOOD
Mailing Address - State:WA
Mailing Address - Zip Code:98371-3412
Mailing Address - Country:US
Mailing Address - Phone:904-458-7410
Mailing Address - Fax:253-323-9012
Practice Address - Street 1:1002 N MERIDIAN
Practice Address - Street 2:STE 100 PMB 193
Practice Address - City:PUYALLUP
Practice Address - State:WA
Practice Address - Zip Code:98371-4409
Practice Address - Country:US
Practice Address - Phone:253-340-5040
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-07
Last Update Date:2024-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health