Individual
JACQUELINE LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
14506 110TH AVE E, PUYALLUP, WA 98374-4908
(253) 393-0336
Mailing address
14506 110TH AVE E, PUYALLUP, WA 98374-4908
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
ARNP.AP.70117242-NP
WA
Other
Enumeration date
04/22/2026
Last updated
04/22/2026
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