Individual provider · Type 1 NPI

Jeremiah Nordstrom

Registered Nurse · Walla Walla, WA

NPI number 1710772116 Active

Practice location

1520 Kelly Pl Ste 234
Walla Walla, WA 99362-8607

Call (509) 524-2920 Map

Mailing address

PO Box 959
Yakima, WA 98907-0959

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse Primary 163W00000XRN61202303 (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 1710772116

Jeremiah Nordstrom's National Provider Identifier is 1710772116, issued on Apr 14, 2025. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in Walla Walla, WA. The record was last updated on Apr 14, 2025.