Individual
JAYNE GAYLE ROBERSON-WILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1959 NE PACIFIC ST, SEATTLE, WA 98195-0001
(206) 598-4333
Mailing address
PO BOX 50095, SEATTLE, WA 98145-5095
(206) 543-6420
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP30003998
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0281155
L&I
WA
05
—
1326141334
—
WA
Enumeration date
09/06/2006
Last updated
09/14/2011
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