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Individual

NIKKI JEAN WHITING

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
1717 S J ST, TACOMA, WA 98405-4933
(253) 426-6341
(253) 426-6344
Mailing address
1717 S J ST, TACOMA, WA 98405-4933
(253) 426-6341
(253) 426-6344

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
201903309NP-PP
OR
363LA2100X
Acute Care Nurse Practitioner
Primary
AP61182154
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2138966
WA
Enumeration date
05/03/2019
Last updated
09/21/2022
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