Individual provider · Type 1 NPI

Jessy Krallum, FNP-C

Nurse Practitioner · Tacoma, WA

NPI number 1508498015 Active

Practice location

6240 Tacoma Mall Blvd Ste 101
Tacoma, WA 98409-6819

Fax (720) 598-0440

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner 363LF0000X202001367NP-PP (OR)
Nurse Practitioner Primary 363L00000XAP61044253 (WA)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1508498015

Jessy Krallum, FNP-C's National Provider Identifier is 1508498015, issued on Feb 12, 2020. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Tacoma, WA. The record was last updated on Apr 9, 2021.