Provider Demographics
NPI:1841955838
Name:WINKELMAN, JESSICA ALEXANDER (LPN)
Entity type:Individual
Prefix:
First Name:JESSICA
Middle Name:ALEXANDER
Last Name:WINKELMAN
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10107 YEW LN SW
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:WA
Mailing Address - Zip Code:98499-3853
Mailing Address - Country:US
Mailing Address - Phone:253-468-8214
Mailing Address - Fax:
Practice Address - Street 1:10107 YEW LN SW
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:WA
Practice Address - Zip Code:98499-3853
Practice Address - Country:US
Practice Address - Phone:253-468-8214
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-11-03
Last Update Date:2023-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA60987640164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse