Individual
JACQUELINE BRIETT SISOLAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
29805 PACIFIC HWY S, FEDERAL WAY, WA 98003-4233
(253) 545-3770
Mailing address
29805 PACIFIC HWY S, FEDERAL WAY, WA 98003-4233
(253) 545-3770
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
61509201
WA
363LF0000X
Family Nurse Practitioner
Primary
AP70025329
WA
Other
Enumeration date
05/16/2025
Last updated
07/25/2025
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