Individual provider · Type 1 NPI
Jody Gustafson
Registered Nurse · Soap Lake, WA
Practice location
410 Ginkgo St S
Soap Lake, WA 98851-9166
Fax (509) 246-0669
Mailing address
11367 Road B.2 NW
Ephrata, WA 98823-7809
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse Primary | 163W00000X | 60720556 (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…
Other registered nurse providers in Soap Lake
About NPI 1922945583
Jody Gustafson's National Provider Identifier is 1922945583, issued on May 1, 2026. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in Soap Lake, WA. The record was last updated on May 1, 2026.