Individual provider · Type 1 NPI
Shari Syrdal Jaques, ARNP MN
Nurse Practitioner · Lake Forest Park, WA
Practice location
17440 Brookside Blvd NE
Lake Forest Park, WA 98155
Fax (206) 364-0076
Mailing address
PO Box 292, 1306 Lakeview Drive
Snohomish, WA 98291-0292
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | RN00044602 (WA) |
| Nurse Practitioner Primary | 363L00000X | AP30004096 (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…
About NPI 1710068598
Shari Syrdal Jaques, ARNP MN's National Provider Identifier is 1710068598, issued on Oct 18, 2006. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Lake Forest Park, WA. The record was last updated on Sep 11, 2025.