Individual
MRS. JACQUELINE RENEE QUINBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
3285 FERGUSON ST SW, TUMWATER, WA 98512
(360) 943-1907
(360) 943-1912
Mailing address
3285 FERGUSON ST. SW, TUMWATER, WA 98512
(360) 943-1907
(360) 943-1912
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN60392422
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN60392422
PERSONAL NPI FOR NURSING LICENSE
WA
Enumeration date
03/20/2020
Last updated
03/20/2020
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