Individual
JEREMY GLENN NUGENT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CM60686561
Contact information
Practice address
3510 STEELHAMMER DR, CENTRALIA, WA 98531-1532
(360) 623-8056
(360) 623-1072
Mailing address
10503 CREEK ST SE UNIT 115, YELM, WA 98597-8678
(360) 623-8056
(360) 623-1072
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
CM6066561
WA
Other
Enumeration date
01/08/2026
Last updated
01/08/2026
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