Provider Demographics
NPI:1295989283
Name:LYNN, JENNIFER MARIE (ARNP)
Entity type:Individual
Prefix:
First Name:JENNIFER
Middle Name:MARIE
Last Name:LYNN
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1231 116TH AVE NE
Mailing Address - Street 2:STE 950
Mailing Address - City:BELLEVUE
Mailing Address - State:WA
Mailing Address - Zip Code:98004-3832
Mailing Address - Country:US
Mailing Address - Phone:425-454-3366
Mailing Address - Fax:425-646-5198
Practice Address - Street 1:1231 116TH AVE NE
Practice Address - Street 2:STE 950
Practice Address - City:BELLEVUE
Practice Address - State:WA
Practice Address - Zip Code:98004-3832
Practice Address - Country:US
Practice Address - Phone:425-454-3366
Practice Address - Fax:425-646-5198
Is Sole Proprietor?:No
Enumeration Date:2008-11-04
Last Update Date:2021-06-09
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
WAAP60048473363LW0102X, 363LX0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LX0001XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerObstetrics & Gynecology
No363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health