Individual provider · Type 1 NPI

Jackline Munene

Nurse Practitioner · Renton, WA

NPI number 1184396194 Active

Practice location

11100 SE Petrovitsky Rd Apt Q201
Renton, WA 98055-6467

Mailing address

Cmr 402 Box 11
Apo, AE 09180-0001

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician 207Q00000X61192030 (WA)
Nurse Practitioner Primary 363L00000X61192030 (WA)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1184396194

Jackline Munene's National Provider Identifier is 1184396194, issued on Sep 29, 2021. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Renton, WA. The record was last updated on Jan 14, 2022.