Wantland, Jackie Lyn

Wantland, Jackie Lyn is an individual health care provider with primary practice located at 7 S 10Th Ave , Yakima WA 98902-3318. She recently has only one registered license in Nursing Service Providers / Wound Care, which is considered as her primary health care specialty. Wantland, Jackie Lyn can be contacted via phone (509) 575-5093.

Contact Information

Primary practice address
7 S 10Th Ave Yakima WA 98902-3318
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Wound Care 163WW0000X RN00169179 Washington

Profile Details

NPI number 1134994916
LBN Legal business name Wantland, Jackie Lyn
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 21st, 2023
Last updated Nov 21st, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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