Individual
JODY J. VEATCH-JANIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
209 MARTIN LUTHER KING JR WAY, TACOMA, WA 98405-4265
(253) 596-3300
(253) 596-3301
Mailing address
5500 OLYMPIC DR STE H105, GIG HARBOR, WA 98335-1491
(253) 228-3626
(253) 514-6007
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
2026
CO
363A00000X
Physician Assistant
Primary
PA60401344
WA
363AS0400X
Surgical Physician Assistant
PA60401344
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2104464
—
WA
05
—
48157546
—
CO
Enumeration date
08/18/2006
Last updated
02/16/2024
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