Individual provider · Type 1 NPI
Jennifer Medina, PMHNP-BC
Psychiatric/Mental Health Nurse Practitioner · Spokane, WA
NPI number
1902422801
Active
Practice location
100 N Howard St Ste 4262
Spokane, WA 99201-0508
Mailing address
PO Box 1926
Idaho Springs, CO 80452-1926
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | APN.0996767-NP (CO) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | AP61426583 (WA) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1902422801
Jennifer Medina, PMHNP-BC's National Provider Identifier is 1902422801, issued on Jun 17, 2020. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Spokane, WA. The record was last updated on Apr 28, 2023.