Provider Demographics
NPI:1356161665
Name:JENNIFER LYNN GEAR
Entity type:Organization
Organization Name:JENNIFER LYNN GEAR
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:RN
Authorized Official - Prefix:
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:GEAR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:509-936-3083
Mailing Address - Street 1:PO BOX 49
Mailing Address - Street 2:
Mailing Address - City:CHEWELAH
Mailing Address - State:WA
Mailing Address - Zip Code:99109-0049
Mailing Address - Country:US
Mailing Address - Phone:509-936-3083
Mailing Address - Fax:
Practice Address - Street 1:2508 CANYON CREST WAY UNIT 3
Practice Address - Street 2:
Practice Address - City:CHEWELAH
Practice Address - State:WA
Practice Address - Zip Code:99109-9419
Practice Address - Country:US
Practice Address - Phone:509-936-3083
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-11
Last Update Date:2024-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163W00000XNursing Service ProvidersRegistered NurseGroup - Single Specialty