Jennifer Ellen Jacky in Seattle - Family
Jennifer Ellen Jacky - NPI 1275606774
Jennifer Ellen Jacky is a Family in Seattle, Washington. Jennifer Ellen Jacky practices all healthcare services and medical treatments related to Family. The NPI Number for Jennifer Ellen Jacky is 1275606774. The last update date is 2018-09-05.
Jennifer Ellen Jacky's current location address is 825 Eastlake Ave E, Seattle, Washington. You can contact this provider via phone number 2066066692 and fax number 2066061435. The mailing address for Jennifer Ellen Jacky is 825 Eastlake Ave E, Seattle, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jennifer Ellen Jacky |
|---|---|
| Address | 825 Eastlake Ave E, Seattle, Washington |
| Phone Number | 2066066692 |
| Fax Number | 2066061435 |
| Sole Proprietor | N |
| Credentials | ARNP |
NPI Number Detail
| NPI Number | 1275606774 |
|---|---|
| Provider Enumeration Date | 2006-11-15 |
| Last Updated Date | 2018-09-05 |
Provider Mailing Address Detail
| Address | 825 Eastlake Ave E |
|---|---|
| City | Seattle |
| State | Washington (WA) |
| Post Code | 98109 |
| Phone Number | 2066066692 |
| Fax Number | 2066061435 |
Provider's Primary Taxonomy Detail
| Speciality | Family |
|---|---|
| Taxonomy | 363Lf0000X |
| Licence No | AP30007362 |
|
Definition: An advanced practice registered nurse expert in primary healthcare for patients of all ages. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1275606774 | WA | -- | |
| 274647 | WA | L&I |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Jennifer Ellen Jacky by the Centers for Medicare & Medicaid Services?
The Jennifer Ellen Jacky has been assigned the NPI (National Provider Identifier) 1275606774 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete physical location address of Jennifer Ellen Jacky?
The Jennifer Ellen Jacky is physically situated at 825 Eastlake Ave E, in the city of Seattle, state of WA, with the postal code 98109.
What is Jennifer Ellen Jacky's specialized field of practice, and what is the corresponding taxonomy classification code?
The Jennifer Ellen Jacky's area of specialization is Family, and the corresponding taxonomy code that categorizes this field of practice is 363Lf0000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1275606774 to Jennifer Ellen Jacky?
The Jennifer Ellen Jacky received its 1275606774 assignment from the Centers for Medicare & Medicaid Services on 2006-11-15.
When was the information pertaining to Jennifer Ellen Jacky most recently updated or revised?
The details related to Jennifer Ellen Jacky, including its address, specialty, and other relevant information, were last updated or revised on 2018-09-05.
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