Individual
MRS. JILLIAN K HAMEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
12728 19TH AVE SE, STE 200, EVERETT, WA 98208-6526
(425) 225-2700
(425) 225-2790
Mailing address
PO BOX 3360, PORTLAND, OR 97208-3360
(866) 747-2455
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
AP60477362
WA
363LA2100X
Acute Care Nurse Practitioner
NP20297
CA
363LA2100X
Acute Care Nurse Practitioner
R175998
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
417717700
—
MD
01
—
956706-01 & 02
CAREFIRST BC/BS
MD
01
—
S062-0371
CAREFIRST BC/BS REGIONAL
MD
Enumeration date
04/27/2009
Last updated
07/12/2016
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