Provider Demographics
NPI:1699448969
Name:VO, JENNA NHAN (PMHNP)
Entity type:Individual
Prefix:
First Name:JENNA
Middle Name:NHAN
Last Name:VO
Suffix:
Gender:F
Credentials:PMHNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19435 68TH AVE S STE S102
Mailing Address - Street 2:
Mailing Address - City:KENT
Mailing Address - State:WA
Mailing Address - Zip Code:98032-2114
Mailing Address - Country:US
Mailing Address - Phone:714-345-0300
Mailing Address - Fax:
Practice Address - Street 1:19435 68TH AVE S STE S102
Practice Address - Street 2:
Practice Address - City:KENT
Practice Address - State:WA
Practice Address - Zip Code:98032-2114
Practice Address - Country:US
Practice Address - Phone:714-345-0300
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-07-31
Last Update Date:2025-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAP61624174363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health