Individual
AMANDA JAKOSITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
3901 HOYT AVE, EVERETT, WA 98201-4918
(425) 339-5410
Mailing address
PO BOX 5127, EVERETT, WA 98206-5127
(425) 258-3900
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP60447543
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2035219
—
WA
Enumeration date
02/25/2014
Last updated
11/21/2014
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