Jessica Canonizado, LPN - Licensed Practical Nurse in Fife, WA

Jessica Canonizado, LPN is a Licensed Practical Nurse based in Fife, Washington. Jessica Canonizado is licensed to practice in Washington (license number LP61095545) and her current practice location is 2150 Freeman Rd E, Fife, Washington. She can be reached at her office (for appointments etc.) via phone at (253) 942-5644.

NPI number for Jessica Canonizado is 1902554116 and her current mailing address is 4821 Yew Ln Sw, Lakewood, Washington. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1902554116.

Contact Information

Jessica Canonizado, LPN
2150 Freeman Rd E,
Fife, WA 98424-3776
(253) 942-5644
(253) 922-4722



Provider's Profile

Full NameJessica Canonizado
GenderFemale
SpecialityLicensed Practical Nurse
Location2150 Freeman Rd E, Fife, Washington
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1902554116
  • Provider Enumeration Date: 03/16/2022
  • Last Update Date: 03/16/2022

Medical Identifiers

Medical identifiers for Jessica Canonizado such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1902554116NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
164W00000XLicensed Practical Nurse LP61095545 (Washington)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jessica Canonizado is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Jessica Canonizado, LPN
4821 Yew Ln Sw,
Lakewood, WA 98499-3848

Ph: (253) 232-5154
Jessica Canonizado, LPN
2150 Freeman Rd E,
Fife, WA 98424-3776

Ph: (253) 942-5644

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› Verified 2 days ago


Licensed Practical Nurse Nurses in Fife, WA

Alisa A Thompson, LPN
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 4210 20th St E Ste B&c, Fife, WA 98424
Phone: 253-235-5216    Fax: 253-235-1750
Gabriela Zaldivar, LPN
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 2150 Freeman Rd E, Fife, WA 98424
Phone: 253-942-4722    Fax: 253-922-4722
Chad Jones,
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 2150 Freeman Rd E Ste 1, Fife, WA 98424
Phone: 253-922-7833    Fax: 253-922-7611
Krystal R Scott, LPN
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 2150 Freeman Rd E, Fife, WA 98424
Phone: 253-942-5644    Fax: 253-235-5216
Lavina Giorgio,
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 2150 Freeman Rd E Ste 1, Fife, WA 98424
Phone: 253-922-7833    Fax: 253-922-7611
Lauren Lepage, LPN
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 2150 Freeman Rd E Ste 1, Fife, WA 98424
Phone: 253-942-4722    
Charis Satta Vululleh,
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 2150 Freeman Rd E, Fife, WA 98424
Phone: 253-942-5644    

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