Search › Washington › 363A00000X
Ellen Jacus, PA-C
NPI 1972544336 · on the registry since 2006
Practice
- Address
- 77 N Main St
Coupeville, WA 98239 - Phone
- (360) 678-4440
- Organisation at this address
- Whidbey Island Internal Medicine
Whidbey Island Public Hospital District
Whidbey Island Public Hospital District
Whidbey Island Public Hospital District
Whidbey Island Public Hospital DistrictInferred from a shared address, not stated in the registry. - Clinicians at this address
- 4
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Also registered as
- 363AM0700X
- Licence states on file
- WA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2011-05-09
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