IndividualActive
Jessie Fudge, MD
NPI 1386830610 · Sports Medicine (Family Medicine) Physician · Everett, WA
Provider details
- NPI number
- 1386830610
- Entity type
- Individual
- Primary specialty
- Sports Medicine (Family Medicine) PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- MD 60141711 (WA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
2930 Maple St
Everett, WA 98201-3832
Phone: (425) 502-3600
Approximate (ZIP-level) locationGet directions
Mailing address
2930 Maple Street
Everett, WA 98201
Registry dates
- Enumerated
- 2007-09-20
- Last updated
- 2021-04-07
- Certified
- 2021-04-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.