Doctor Name: | JENNIFER KATHERINE MCCASLIN |
NPI Number: | 1568894608 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RN |
License Number: | RN60264230 |
Business Practice Address: | 13820 19th Ave Ne Tulalip, WA - 982716706 |
Business Phone Number: | 4253195900 |
Business Fax Number: | |
Mailing Address: | 1306 38th St, EVERETT |
State: | WA |
Postal Code: | 982014801 |
Phone Number: | 4253195900 |
Fax Number: | |
NPI Enumeration Date: | 07/31/2013 |
NPI Last Update Date: | 07/31/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WH0200X |
License Number: | RN60264230 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WA |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Home Health |
Taxonomy Definition: |