Individual
MR. JOHN JAMISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ARNP
Contact information
Practice address
605 S COOLIDGE ST, MOSES LAKE, WA 98837-1893
(509) 765-0674
(509) 764-0344
Mailing address
PO BOX 1319, MOSES LAKE, WA 98837-0194
(602) 471-6766
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP60483986
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2040104
—
WA
Enumeration date
03/16/2013
Last updated
06/07/2021
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