Individual
MRS. JILLIAN FAITH BAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, BS, MS, FNP-BC
Contact information
Practice address
200 NE MOTHER JOSEPH PL STE 305, VANCOUVER, WA 98664-3296
(360) 254-6161
(360) 449-1146
Mailing address
200 NE MOTHER JOSEPH PL STE 210, VANCOUVER, WA 98664-3295
(360) 254-6161
(360) 449-1146
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN00153028
WA
363LF0000X
Family Nurse Practitioner
Primary
AP60024751
WA
Other
Enumeration date
08/12/2007
Last updated
07/23/2021
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