SearchWashington208000000X

Jessica Jacoby, PNP

NPI 1710490545 · on the registry since 2017 · sole proprietor

Practice

Address
2404 Ne 187th Pl
Vancouver, WA 98684
Phone
(616) 402-0020

Registry record

Primary taxonomy
208000000X
208000000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2017-11-15

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Washington