Individual provider · Type 1 NPI
Jennifer Ellen Jacky, ARNP
Family Nurse Practitioner · Seattle, WA
NPI number
1275606774
Active
Practice location
825 Eastlake Ave E
Seattle, WA 98109
Fax (206) 606-1435
Mailing address
PO Box 50095
Seattle, WA 98145-5095
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner | 363L00000X | AP30007362 (WA) |
| Family Nurse Practitioner Primary | 363LF0000X | AP30007362 (WA) |
Family Nurse Practitioner: Definition to come...
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About NPI 1275606774
Jennifer Ellen Jacky, ARNP's National Provider Identifier is 1275606774, issued on Nov 15, 2006. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Seattle, WA. The record was last updated on Sep 5, 2018.