# JACQUELINE GREGORY PYCHIATRIC NURSE PRACTITIONER PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1295657419
- **Authorized official:** MS. JACQUELINE GREGORY PHD, FNP-C PMHNP-BC (OWNER)
- **Authorized official phone:** (509) 854-8722

## Contact information

- **Practice address:** 1769 NACHES WENAS RD LOT 156, SELAH, WA 98942-1448
- **Practice address phone:** (509) 854-8722
- **Practice address fax:** (307) 202-4873
- **Mailing address:** 1769 NACHES WENAS RD LOT 156, SELAH, WA 98942-1448
- **Mailing address phone:** (509) 854-8722
- **Mailing address fax:** (307) 202-4873

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 07/28/2026
- **Last updated:** 07/28/2026