Individual
JONATHAN STACKHOUSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ARNP
Contact information
Practice address
4800 SAND POINT WAY NE, OC.9.830, SEATTLE, WA 98105-3901
(206) 987-0000
Mailing address
4800 SAND POINT WAY NE, OC.9.830, SEATTLE, WA 98105-3901
(206) 987-0000
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
AP61550697
WA
Other
Enumeration date
07/27/2023
Last updated
01/05/2026
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