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Contact Information

JESSE K BIVENS, ARNP
5741 N 26TH ST UNIT 115
TACOMA, WA98407-2415
 Phone: 253-756-3737
 Fax: 253-756-3799
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for JESSE K BIVENS · (Male)

NPI # 1346789682
Status Active
Credentials ARNP (Advanced Registered Nurse Practitioner)
Entity Individual
Enumeration date 02/20/2017
Last updated 03/27/2024 - About 2 years ago
Sole proprietor 1 No
Identifiers
  • WA License # AP60732867
  • WA Medicaid 2076252
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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