Provider Demographics
NPI:1811792211
Name:DARROW, JENNIFER (RN, CWON, CFCN)
Entity type:Individual
Prefix:
First Name:JENNIFER
Middle Name:
Last Name:DARROW
Suffix:
Gender:F
Credentials:RN, CWON, CFCN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9611 NE 339TH ST
Mailing Address - Street 2:
Mailing Address - City:LA CENTER
Mailing Address - State:WA
Mailing Address - Zip Code:98629-2867
Mailing Address - Country:US
Mailing Address - Phone:360-281-8064
Mailing Address - Fax:
Practice Address - Street 1:9611 NE 339TH ST
Practice Address - Street 2:
Practice Address - City:LA CENTER
Practice Address - State:WA
Practice Address - Zip Code:98629-2867
Practice Address - Country:US
Practice Address - Phone:360-281-8064
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-18
Last Update Date:2025-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR097000709RN163WE0900X
WARN00128923163WE0900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WE0900XNursing Service ProvidersRegistered NurseEnterostomal Therapy