Provider Demographics
NPI:1215284641
Name:ZIMBUREAN, JENNIE (CD(DONA,PALS))
Entity type:Individual
Prefix:
First Name:JENNIE
Middle Name:
Last Name:ZIMBUREAN
Suffix:
Gender:F
Credentials:CD(DONA,PALS)
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:811A NE 64TH ST
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98115-5521
Mailing Address - Country:US
Mailing Address - Phone:206-851-8923
Mailing Address - Fax:
Practice Address - Street 1:811A NE 64TH ST
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98115-5521
Practice Address - Country:US
Practice Address - Phone:206-851-8923
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-08-03
Last Update Date:2012-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA603201271374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula