Individual provider · Type 1 NPI
Jillian C. S. Longway, CPNP
Pediatric Nurse Practitioner · Tacoma, WA
NPI number
1669875993
Active
Practice location
1628 S Mildred St Ste 101
Tacoma, WA 98465-1628
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | RN60840002 (WA) |
| Pediatric Nurse Practitioner Primary | 363LP0200X | AP60849416 (WA) |
Pediatric Nurse Practitioner: Definition to come...
Another provider at this address
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About NPI 1669875993
Jillian C. S. Longway, CPNP's National Provider Identifier is 1669875993, issued on Oct 1, 2014. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Tacoma, WA. The record was last updated on Jul 25, 2024.