Individual
JILL SHORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
316 E MCLEOD RD STE 101, BELLINGHAM, WA 98226-6491
(360) 734-5410
Mailing address
9564 FRESH CROWN CT, LAS VEGAS, NV 89148-4269
(360) 305-9647
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN60277787
WA
Other
Enumeration date
12/14/2023
Last updated
12/14/2023
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