Individual
JAMI L MOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
22180 OLYMPIC COLLEGE WAY NW STE 102, POULSBO, WA 98370-6664
(360) 779-4444
(360) 697-2514
Mailing address
22180 OLYMPIC COLLEGE WAY NW STE 102, POULSBO, WA 98370-6664
(360) 779-4444
(360) 697-2514
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
RN60465549
WA
363L00000X
Nurse Practitioner
AP61259121
WA
363LF0000X
Family Nurse Practitioner
Primary
AP61259121
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2209334
—
WA
Enumeration date
05/28/2021
Last updated
03/27/2024
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