Individual
MRS. JESSIE JIYEON DZIDUCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
4011 172ND ST NE, ARLINGTON, WA 98223-8482
(142) 525-9096
Mailing address
7600 EVERGREEN WAY, EVERETT, WA 98203-6421
(206) 860-5414
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP61340468
WA
363L00000X
Nurse Practitioner
RN61340403
WA
Other
Enumeration date
11/05/2018
Last updated
05/04/2026
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