Individual
JACQUELINE MARIE FERDOWSALI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
A.G.A.C.N.P
Contact information
Practice address
200 NE MOTHER JOSEPH PL STE 330, VANCOUVER, WA 98664-3288
(360) 514-2990
Mailing address
PO BOX 4390, CARSON CITY, NV 89702-4390
(775) 445-7650
(775) 882-4206
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP60879539
WA
363LA2100X
Acute Care Nurse Practitioner
11330828-4405
UT
363LA2100X
Acute Care Nurse Practitioner
APN001499
NV
Other
Enumeration date
03/07/2013
Last updated
04/07/2020
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