Individual
MR. JASON FREDERICK EARLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PMHNP
Contact information
Practice address
107 S DIVISION ST, SPOKANE, WA 99202-1510
(509) 838-4651
(509) 363-2762
Mailing address
107 S DIVISION ST, SPOKANE, WA 99202-1510
(509) 838-4651
(509) 363-2762
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP60186248
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
677536
REGISTERED NURSE CALIFORNIA
CA
01
—
AP60186248
WASHGINTON STATE
WA
01
—
RN60164843
WASHINGTON STATE
WA
Enumeration date
07/11/2008
Last updated
07/07/2011
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