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Individual

BRIANNE JAYLEEN MCQUILLAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN, FNP-C

Contact information

Practice address
2420 S UNION AVE STE 3000, TACOMA, WA 98405-1322
(253) 680-6200
Mailing address
2420 S UNION AVE STE 300, TACOMA, WA 98405-1387
(253) 680-6200

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN61488999
WA
163WE0003X
Emergency Registered Nurse
125573
OK
363LF0000X
Family Nurse Practitioner
125573
OK
363LP2300X
Primary Care Nurse Practitioner
Primary
AP61489061
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200894640A
OK
Enumeration date
09/27/2019
Last updated
01/30/2024
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