Provider Demographics
NPI:1891738910
Name:MEYERS, JENNIFER LYNNE (MD)
Entity type:Individual
Prefix:DR
First Name:JENNIFER
Middle Name:LYNNE
Last Name:MEYERS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:4800 SAND POINT WAY NE
Mailing Address - Street 2:BOX 359300, MAILSTOP CUMG
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98105-3901
Mailing Address - Country:US
Mailing Address - Phone:206-987-8473
Mailing Address - Fax:206-987-8415
Practice Address - Street 1:4800 SAND POINT WAY NE
Practice Address - Street 2:MAILSTOP W-9824
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98105-3901
Practice Address - Country:US
Practice Address - Phone:206-987-2518
Practice Address - Fax:206-987-3935
Is Sole Proprietor?:No
Enumeration Date:2006-06-14
Last Update Date:2008-01-24
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXM3020207L00000X
WAMD00048581207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology