Individual
MS. VICKY LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
9040 JACKSON AVE, TACOMA, WA 98431-7457
(253) 968-2252
Mailing address
9040 JACKSON AVE, TACOMA, WA 98431-0001
(253) 968-2252
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP60992364
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2154753
—
WA
Enumeration date
09/11/2019
Last updated
04/25/2025
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