Individual
SHAY JACKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
4800 SAND POINT WAY NE, SEATTLE, WA 98105-3901
(612) 636-2770
Mailing address
10610 NE 9TH PL UNIT 602, BELLEVUE, WA 98004-8611
(612) 636-2770
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
AP 60016965
WA
Other
Enumeration date
02/12/2009
Last updated
02/12/2009
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