Individual
DR. JILLIAN MACKENZIE BLANCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, FNP-C
Contact information
Practice address
6625 LAKEVIEW DR APT 101, KIRKLAND, WA 98033-6940
(253) 642-6104
Mailing address
6500 SW STEVENS ST, SEATTLE, WA 98116-2621
(208) 880-8041
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN60500024
WA
363LF0000X
Family Nurse Practitioner
Primary
AP61467195
WA
Other
Enumeration date
07/27/2023
Last updated
07/27/2023
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