Individual
MRS. JACLYN NICOLE SISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
2227 79TH AVE SE, TUMWATER, WA 98501-6803
(206) 422-6857
Mailing address
2227 79TH AVE SE, TUMWATER, WA 98501-6803
(206) 422-6857
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP70009126
WA
Other
Enumeration date
06/05/2025
Last updated
06/05/2025
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