Pamela Jernigan, RDH
Individual provider Active NPI Dental Hygienist · JBLM, WA
NPI 1124890983 · NPPES record last updated Sep 27, 2024
Key facts
- NPI
- 1124890983
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dental Hygienist 124Q00000X
- License
- DH013742L (PA)
- Practice address
- 9040A Jackson Ave
JBLM, WA 98431 - Phone
- (253) 968-1240
- NPI assigned
- Oct 25, 2023
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DH013742L | PA | MD | Dental Hygienist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | DH013742L | PA | Yes |
Addresses
Primary practice location
9040A Jackson Ave
JBLM, WA 98431
Mailing address
9040A Jackson Ave
JBLM, WA 98431
Phone (250) 968-1240
Other providers in JBLM, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 27, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.