Individual
NIKKI LEE HARTLEY-JONASON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1501 BAY AVE STE 201, OCEAN PARK, WA 98640-4203
(360) 642-3747
(360) 642-3361
Mailing address
PO BOX H, ILWACO, WA 98624-0258
(360) 642-6387
(360) 642-0064
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP60669740
WA
Other
Enumeration date
08/29/2013
Last updated
05/21/2020
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