Individual provider · Type 1 NPI

Jacqueline Gannon

Student in an Organized Health Care Education/Training Program · Puyallup, WA

NPI number 1780537241 Active

Practice location

417 E Pioneer # B
Puyallup, WA 98372-3267

Call (425) 298-3128 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1780537241

Jacqueline Gannon's National Provider Identifier is 1780537241, issued on Feb 16, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Puyallup, WA. The record was last updated on Feb 16, 2026.