| Jennifer Flint, | |
|
1057 12th Ave, Longview, WA 98632-2509 | |
| (360) 636-3892 | |
| (360) 414-1114 |
| Full Name | Jennifer Flint |
|---|---|
| Gender | Female |
| Speciality | Dietitian, Registered |
| Location | 1057 12th Ave, Longview, Washington |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619132016 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | DI00001603 (Washington) | Primary |
| Provider Name | Puget Sound Kidney Centers |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1073939062 PECOS PAC ID: 3476501560 Enrollment ID: O20171005001174 |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer Flint, 1057 12th Ave, Longview, WA 98632-2509 Ph: (360) 636-3892 | Jennifer Flint, 1057 12th Ave, Longview, WA 98632-2509 Ph: (360) 636-3892 |
Patricia S Goodman, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1057 12th Ave, Longview, WA 98632 Phone: 360-423-7740 Fax: 360-423-7894 | |
Robin Hammon, R.D. Dietitian Medicare: Accepting Medicare Assignments Practice Location: 783 Commerce Ave, Longview, WA 98632 Phone: 360-577-2630 | |
Kaydee Mae Harris, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 160 Monticello Dr, Longview, WA 98632 Phone: 360-560-9760 | |
Margaret D Norman, BS, MS Dietitian Medicare: Not Enrolled in Medicare Practice Location: 600 Broadway St, Longview, WA 98632 Phone: 360-636-4943 Fax: 360-414-7674 | |
Alicia D Susilla, BS Dietitian Medicare: Not Enrolled in Medicare Practice Location: 600 Broadway St, Longview, WA 98632 Phone: 360-414-2200 Fax: 360-414-2210 | |
Emily Greenough, Dietitian Medicare: Medicare Enrolled Practice Location: 1615 Delaware St, Longview, WA 98632 Phone: 360-414-2000 | |
Erika Jeanne Zeff, R.D. Dietitian Medicare: Accepting Medicare Assignments Practice Location: 1615 Delaware St, Longview, WA 98632 Phone: 360-501-3601 Fax: 360-501-3648 |