Jenae B. Porter, BSN, RN

Primary specialty

School Registered NurseTaxonomy code 163WS0200X

License

RN61521018 Issued in WA

Practice address

1201 100TH St NE
Granite Falls, WA 98252-8632

Phone

(360) 691-7718

Fax

(425) 412-8493

NPI assigned

Oct 31, 2024

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor on Science - Nursing, Registered Nurse

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1730332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730332800000",
    "number": "1013739895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 N ALDER AVE",
            "city": "GRANITE FALLS",
            "state": "WA",
            "postal_code": "982528907",
            "telephone_number": "360-691-7717",
            "fax_number": "425-412-8493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 100TH ST NE",
            "city": "GRANITE FALLS",
            "state": "WA",
            "postal_code": "982528632",
            "telephone_number": "360-691-7718",
            "fax_number": "425-412-8493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PORTER",
        "first_name": "JENAE",
        "middle_name": "B.",
        "credential": "BSN, RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-31",
        "last_updated": "2024-10-31",
        "certification_date": "2024-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "WA",
            "license": "RN61521018",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Louise Newman, RPH
• Uyen Thuy Ngo, PHARMD
• Elisha Danyeil Oltmann, LMP
• Nicole Jean Paganucci, L.M.T.
• Amanda Pawlak, C-SLPA
• Madysen Pruss
• Public Hospital Dist No 1 Skagit
• Cheryl Pullen
• Daniela Aidee Rodriguez Camacho
• Jacqueline Rogers, PHARMD

• School Registered Nurse in Granite Falls, WA
• Providers in Granite Falls, WA by specialty
• School Registered Nurse in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.