Individual provider · Type 1 NPI

Jacqueline Wawa

Licensed Practical Nurse · Tacoma, WA

NPI number 1376992966 Active

Practice location

9040 Jackson Ave
Tacoma, WA 98431-1100

Call (253) 968-3208 Map

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000XLP00052959 (WA)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1376992966

Jacqueline Wawa's National Provider Identifier is 1376992966, issued on Jun 6, 2016. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Tacoma, WA. The record was last updated on Jun 6, 2016.