| Jennifer Fresh, PMHNP, ARNP | |
|
7700 Ne 26th Ave, Vancouver, WA 98665-0672 | |
| (360) 397-8228 | |
| (360) 353-9440 |
| Full Name | Jennifer Fresh |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 3 Years |
| Location | 7700 Ne 26th Ave, Vancouver, Washington |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760845853 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | AP61193529 (Washington) | Primary |
| 163W00000X | Registered Nurse | 201507213RN (Oregon) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Cowlitz Indian Tribe | 8820030133 | 15 |
| Entity Name | Cowlitz Indian Tribe |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1740562909 PECOS PAC ID: 8820030133 Enrollment ID: O20050526000589 |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer Fresh, PMHNP, ARNP Po Box 2429, Longview, WA 98632-8486 Ph: (360) 353-9494 | Jennifer Fresh, PMHNP, ARNP 7700 Ne 26th Ave, Vancouver, WA 98665-0672 Ph: (360) 397-8228 |
Mrs. Tracy Lynn Clason, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 108 Se 124th Ave, Suite 22, Vancouver, WA 98684 Phone: 360-882-7603 Fax: 360-896-0337 | |
Ms. Mary Louise Kroske, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 10500 Ne 86th St, Vancouver, WA 98662 Phone: 425-359-6706 Fax: 369-604-6777 | |
Julie Ann Thompson, FNP-C. PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1601 E 4th Plain Blvd Bldg 11, Vancouver, WA 98661 Phone: 360-696-4061 | |
Shannon Kristine Urban, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 16811 Se Mcgillivray Blvd, Vancouver, WA 98683 Phone: 360-735-8100 | |
Mr. Richard Francis Gebhardt, CRNP, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3400 Main St, Vancouver, WA 98663 Phone: 360-696-5232 Fax: 360-696-5228 | |
Todd Skenandore, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2529 Ne 139th St Ste 110, Vancouver, WA 98686 Phone: 360-882-2778 | |
Nina Tran, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 180 Ne 192nd Ave Ste 505, Vancouver, WA 98684 Phone: 503-305-6262 |