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Individual

CAILIN KELLY JARRELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP-BC, PMHNP-BC

Contact information

Practice address
12503 SE MILL PLAIN BLVD STE 123, VANCOUVER, WA 98684-4007
(360) 334-9942
(425) 242-3683
Mailing address
12503 SE MILL PLAIN BLVD STE 123, VANCOUVER, WA 98684-4007
(360) 334-9942
(425) 242-3683

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
201801551NP-PP
OR
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP61412088
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
201801551NP-PP
OREGON NP LICENSE
OR
Enumeration date
03/06/2018
Last updated
09/08/2025
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