Provider Demographics
NPI:1295586998
Name:PLESCIA, JESSIKA (ARNP)
Entity type:Individual
Prefix:
First Name:JESSIKA
Middle Name:
Last Name:PLESCIA
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:JESSIKA
Other - Middle Name:
Other - Last Name:SHAFER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:115 CEDAR CREST PL
Mailing Address - Street 2:
Mailing Address - City:NAPAVINE
Mailing Address - State:WA
Mailing Address - Zip Code:98532-7808
Mailing Address - Country:US
Mailing Address - Phone:510-303-8501
Mailing Address - Fax:
Practice Address - Street 1:1105 S 348TH ST
Practice Address - Street 2:
Practice Address - City:FEDERAL WAY
Practice Address - State:WA
Practice Address - Zip Code:98003-7027
Practice Address - Country:US
Practice Address - Phone:800-769-0045
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-03-29
Last Update Date:2024-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAP61545467363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health