Individual
JILL T. JESURUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP, PHD
Contact information
Practice address
1100 9TH AVE, SEATTLE, WA 98101-2756
(206) 223-6198
(206) 341-0591
Mailing address
PO BOX 741515, LOS ANGELES, CA 90074-1515
(206) 223-6198
(206) 341-0591
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP30005750
WA
363LF0000X
Family Nurse Practitioner
AP30005750
WA
Other
Enumeration date
10/25/2006
Last updated
08/27/2024
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