Individual provider · Type 1 NPI
Mary Lucille Jansma, ARNP
Nurse Practitioner · Longview, WA
Practice location
600 N. Broadway
Longview, WA 98632-0302
Fax (360) 414-2210
Mailing address
PO Box 3002, 600 N. Broadway
Longview, WA 98632-0302
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner | 363LF0000X | AP30005737 (WA) |
| Nurse Practitioner Primary | 363L00000X | AP30005737 (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…
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About NPI 1811060874
Mary Lucille Jansma, ARNP's National Provider Identifier is 1811060874, issued on Nov 16, 2006. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Longview, WA. The record was last updated on Nov 14, 2007.