Individual
MRS. JACKLYN HUTCHENS HARRINGTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA C
Contact information
Practice address
888 SWIFT BLVD, RICHLAND, WA 99352-3514
(509) 942-2159
(509) 942-2757
Mailing address
505 S 336TH STREET, SUITE 600, FEDRAL WAY, WA 98003-6328
(253) 838-6180
(253) 838-6418
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
PA10004867
WA
363L00000X
Nurse Practitioner
Primary
PA10004867
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0202689
LIWA
WA
01
—
0203518
LIWA
WA
01
—
3076HA
BSWA
WA
05
—
8434821
—
WA
Enumeration date
06/07/2006
Last updated
11/21/2011
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