1316551286 NPI number — MRS. JAMIE JOELLE FINNERTY NP-C

Table of content: MRS. JAMIE JOELLE FINNERTY NP-C (NPI 1316551286)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1316551286 NPI number — MRS. JAMIE JOELLE FINNERTY NP-C

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
FINNERTY
Provider First Name:
JAMIE
Provider Middle Name:
JOELLE
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
NP-C
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
ZINK
Provider Other First Name:
JAMIE
Provider Other Middle Name:
JOELLE
Provider Other Name Prefix Text:
MS.
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1316551286
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
09/08/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
910 W 5TH AVENUE
Provider Second Line Business Mailing Address:
SUITE #1000
Provider Business Mailing Address City Name:
SPOKANE
Provider Business Mailing Address State Name:
WA
Provider Business Mailing Address Postal Code:
99204-2902
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
509-342-3200
Provider Business Mailing Address Fax Number:
509-755-6524

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
910 W 5TH AVENUE
Provider Second Line Business Practice Location Address:
SUITE #1000
Provider Business Practice Location Address City Name:
SPOKANE
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
99204-2902
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
509-342-3200
Provider Business Practice Location Address Fax Number:
509-755-6524
Provider Enumeration Date:
09/08/2020

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 363L00000X , with the licence number:  AP61101054 , registered in the state of WA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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