Individual
JODI C HART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARNP, DNP
Contact information
Practice address
751 NE BLAKELY DR STE 4020, ISSAQUAH, WA 98029-6201
(425) 313-7124
(425) 313-7072
Mailing address
PO BOX 25608, SALT LAKE CITY, UT 84125-0608
(206) 320-4476
(206) 568-7043
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN61166141
WA
363LA2100X
Acute Care Nurse Practitioner
Primary
AP61166144
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2207859
—
WA
Enumeration date
02/11/2022
Last updated
07/25/2022
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