Individual
LORRAINE MARIE JACKMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8627 TRACYTON BLVD NW, BREMERTON, WA 98311-9068
(360) 373-6966
Mailing address
10049 KITSAP MALL BLVD NW, SILVERDALE, WA 98383-8903
(360) 373-6966
(360) 373-6965
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP00058516
WA
Other
Enumeration date
01/28/2025
Last updated
01/28/2025
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