JENNIFER L WORSLEY


Address: 9537 Gravelly Lake Dr Sw Ste E10, Lakewood, WA 98499-1513
Phone: 2539842000

JENNIFER L WORSLEY (NPI# 1104201623) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1104201623
Entity Type Individual
Full Name JENNIFER L WORSLEY
Other Name JENNIFER L CARRARA
Credential ARNP FNP-C
Practice Address 9537 Gravelly Lake Dr Sw Ste E10
Lakewood
WA 98499-1513
Practice Telephone 2539842000
Practice Fax Number 2539842049
Mailing Telephone 2539842000
Mailing Fax Number 2539842049
Enumeration Date 2015-07-27
Last Update Date 2020-08-31
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
AP60585208 WA Physician Assistants & Advanced Practice Nursing Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
521 Martin Luther King Jr Way, Tacoma, WA 984054238 2537926680

Office Location

Street Address 9537 GRAVELLY LAKE DR SW STE E10
City LAKEWOOD
State WA
Zip Code 98499-1513

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NPI Name Taxonomy Address Enumeration
1275159592 Sea Mar Community Health Centers Clinic/Center 5700 100th Street Se, Suite 510, Lakewood, WA 98499 2020-06-23
1568018828 Heather Leigh Andrade Behavioral Analyst 6210 75th St W Ste 100, Lakewood, WA 98499 2019-08-13
1043870876 Seoul Chinese Herbs Inc Acupuncturist 8705 S. Tacoma Way, Lakewood, WA 98499 2019-06-14
1013572064 Puget Sound Kidney Centers Clinic/Center 11950 47th Ave Sw, Lakewood, WA 98499 2019-05-06
1447736657 Marcela Cunan Counselor 9330 59th Avenue Southest, Lakewood, WA 98499 2018-07-11
1609382381 Leroy Moore IIi Counselor 8811 S. Tacoma Way, 106, Lakewood, WA 98499 2017-12-18
1578077657 Andrea Gaston Behavior Technician 8815 S. Tacoma Way, Suite 122, Lakewood, WA 98499 2017-11-27
1609389931 Jennifer King Social Worker 5900 100th St Sw Ste 17b, Lakewood, WA 98499 2017-11-08
1750806337 Wonyoung Lee Counselor 8811 South Tacoma Way, Suite 106, Lakewood, WA 98499 2017-08-04
1043749443 Frederick Paltron Edwards Counselor 9500 Front Street, Suite 100, Lakewood, WA 98499 2017-06-08
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1982218574 Primary Health Services LLC Nurse Practitioner 500 River Ave Ste 200, Lakewood, NJ 08701-4719 2020-09-01
1235748237 Esther Steinhaus Nurse Practitioner 409 Ashley Ave, Lakewood, NJ 08701-4866 2020-07-26
1609402817 Bridgit V Wedgle Nurse Practitioner 2556 S Jellison Ct, Lakewood, CO 80227-2872 2020-03-19
1255963187 Tresa Marie Glaser Nurse Practitioner 8807 25th Ave S, Lakewood, WA 98499-8301 2020-02-08
1972149490 Richard Allan Coronel Sy Nurse Practitioner 11645 Walcroft St, Lakewood, CA 90715-1356 2019-11-19
1609411867 Jennifer Lynn Wondel Nurse Practitioner 10424 W Arkansas Dr, Lakewood, CO 80232-5014 2019-11-12
1457901555 Nancy Wairimu Minjire Nurse Practitioner 9537 Gravelly Lake Dr Sw # E10, Lakewood, WA 98499-1513 2019-09-19
1619432325 Soroh Neuberger Nurse Practitioner 232 Jamescrest Ct, Lakewood, NJ 08701-4708 2019-02-06
1487118782 Krista Leigh Petry Nurse Practitioner 4720 Baker St, Lakewood, NY 14750-9772 2019-01-31
1649740093 Svetlana Polyakova Nurse Practitioner 8316 W Eastman Pl, Lakewood, CO 80227-6240 2018-11-28
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Competitor

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City LAKEWOOD
Zip Code 98499

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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