Individual
YONATON A JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ARNP
Contact information
Practice address
710 S 348TH ST STE A, FEDERAL WAY, WA 98003-7042
(253) 382-8540
(253) 661-4286
Mailing address
710 S 348TH ST STE A, FEDERAL WAY, WA 98003-7042
(253) 382-8540
(253) 661-4286
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN60172888
WA
363LA2100X
Acute Care Nurse Practitioner
AP61588691
WA
363LA2200X
Adult Health Nurse Practitioner
Primary
AP61588691
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2299978
—
WA
Enumeration date
08/17/2023
Last updated
05/07/2025
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