Individual provider · Type 1 NPI

Jonathan Stackhouse, ARNP

Pediatric Nurse Practitioner · Seattle, WA

NPI number 1457032005 Active

Practice location

4800 Sand Point Way NE, OC.9.830
Seattle, WA 98105-3901

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200XAP61550697 (WA)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1457032005

Jonathan Stackhouse, ARNP's National Provider Identifier is 1457032005, issued on Jul 27, 2023. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Seattle, WA. The record was last updated on Jan 5, 2026.