Individual provider · Type 1 NPI

Jenna Pucilowski

Gerontology Nurse Practitioner · Seattle, WA

NPI number 1265056923 Active

Practice location

1959 NE Pacific St
Seattle, WA 98195-0001

Specialties and licenses

TaxonomyCodeLicense
Gerontology Nurse Practitioner Primary 363LG0600X61272478 (WA)
Registered Nurse 163W00000XRN60282717 (WA)

Gerontology Nurse Practitioner: Definition to come...

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About NPI 1265056923

Jenna Pucilowski's National Provider Identifier is 1265056923, issued on May 29, 2020. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Seattle, WA. The record was last updated on Jul 22, 2026.