Provider Demographics
NPI:1649034968
Name:KAUR, JANAMJEET N/A (PMHNP-BC)
Entity type:Individual
Prefix:
First Name:JANAMJEET
Middle Name:N/A
Last Name:KAUR
Suffix:
Gender:F
Credentials:PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3637 115TH CT NE
Mailing Address - Street 2:
Mailing Address - City:LAKE STEVENS
Mailing Address - State:WA
Mailing Address - Zip Code:98258-8173
Mailing Address - Country:US
Mailing Address - Phone:425-350-6531
Mailing Address - Fax:
Practice Address - Street 1:3637 115TH CT NE
Practice Address - Street 2:
Practice Address - City:LAKE STEVENS
Practice Address - State:WA
Practice Address - Zip Code:98258-8173
Practice Address - Country:US
Practice Address - Phone:425-879-3619
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-02-07
Last Update Date:2024-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAP6152763363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health