Individual provider · Type 1 NPI

Jill Ellen Stack, PMHNP-BC

Psychiatric/Mental Health Nurse Practitioner · Seattle, WA

NPI number 1215767975 Active

Practice location

101 Elliott Ave W Ste 500
Seattle, WA 98119-4292

Call (808) 348-1472 Map

Mailing address

713 SW 118th St
Seattle, WA 98146-2830

Specialties and licenses

Taxonomy	Code	License
Psychiatric/Mental Health Nurse Practitioner Primary	363LP0808X	AP61593905 (WA)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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About NPI 1215767975

Jill Ellen Stack, PMHNP-BC's National Provider Identifier is 1215767975, issued on Aug 6, 2024. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Seattle, WA. The record was last updated on Oct 22, 2024.