Provider Demographics
NPI:1487457644
Name:JESSEN, NHUNG SCARLET (PA-C)
Entity type:Individual
Prefix:
First Name:NHUNG
Middle Name:SCARLET
Last Name:JESSEN
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:850 W MAPLE ST
Mailing Address - Street 2:
Mailing Address - City:MEDICAL LAKE
Mailing Address - State:WA
Mailing Address - Zip Code:99022-5139
Mailing Address - Country:US
Mailing Address - Phone:509-565-4000
Mailing Address - Fax:
Practice Address - Street 1:850 W MAPLE ST
Practice Address - Street 2:
Practice Address - City:MEDICAL LAKE
Practice Address - State:WA
Practice Address - Zip Code:99022-5139
Practice Address - Country:US
Practice Address - Phone:509-565-4000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-31
Last Update Date:2025-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant