Individual provider · Type 1 NPI

Jodi Granger

Registered Nurse · Tulalip, WA

NPI number 1588219802 Active

Practice location

13820 19th Ave NE
Tulalip, WA 98271-6706

Mailing address

12315 Rainbow Dr
Arlington, WA 98223-5875

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse 164W00000XLP60978864 (WA)
Registered Nurse Primary 163W00000XRN61051755 (WA)

Registered Nurse: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient…

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About NPI 1588219802

Jodi Granger's National Provider Identifier is 1588219802, issued on Aug 4, 2019. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in Tulalip, WA. The record was last updated on Dec 20, 2022.