Individual provider · Type 1 NPI

Jenelle Christine Wicker, LMP

Specialist · Bellevue, WA

NPI number 1689835761 Active

Practice location

1605 116th Ave NE Ste 106
Bellevue, WA 98004-3034

Call (425) 467-5955 Map

Fax (425) 467-5839

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XMA0023791 (WA)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1689835761

Jenelle Christine Wicker, LMP's National Provider Identifier is 1689835761, issued on Jun 20, 2008. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Bellevue, WA. The record was last updated on Jun 20, 2008.