Individual provider · Type 1 NPI

Jerry Ezell Jr., RN

Home Health Registered Nurse · Kalama, WA

NPI number 1750778346 Active

Practice location

194 Porter Rd
Kalama, WA 98625-9698

Call (360) 673-3488 Map

Specialties and licenses

TaxonomyCodeLicense
Home Health Registered Nurse Primary 163WH0200XRN60545703 (WA)

Home Health Registered Nurse: Definition to come...

About NPI 1750778346

Jerry Ezell Jr., RN's National Provider Identifier is 1750778346, issued on Apr 21, 2015. The primary taxonomy on file is Home Health Registered Nurse (163WH0200X), and the practice location is in Kalama, WA. The record was last updated on Apr 21, 2015.