Individual provider · Type 1 NPI

Jade Blocker

Administrator Registered Nurse · Bothell, WA

NPI number 1114383916 Active

Practice location

1225 183rd St SE, Apt J303
Bothell, WA 98012-7495

Specialties and licenses

TaxonomyCodeLicense
Administrator Registered Nurse Primary 163WA2000XRN60168671 (WA)

Administrator Registered Nurse: Definition to come...

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About NPI 1114383916

Jade Blocker's National Provider Identifier is 1114383916, issued on Jan 8, 2016. The primary taxonomy on file is Administrator Registered Nurse (163WA2000X), and the practice location is in Bothell, WA. The record was last updated on Jan 20, 2016.