Individual
JANE KATHERINE SMALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
325 E PIONEER AVE, PUYALLUP, WA 98372-3265
(253) 445-8120
(253) 697-3730
Mailing address
325 E PIONEER AVE, PUYALLUP, WA 98372-3265
(253) 445-8120
(253) 697-3730
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP 60205107
WA
Other
Enumeration date
12/16/2008
Last updated
05/08/2012
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