JILL ELLEN STACK

SEATTLE, WA
NPI1215767975
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: WA  AP61593905)
Enumeration Date2024-08-06
Last Update Date2024-10-22
Business Address
JILL ELLEN STACK PMHNP-BC
101 ELLIOTT AVE W STE 500
SEATTLE, WA 98119-4292
Phone number: 808-348-1472
Mailing Address
JILL ELLEN STACK PMHNP-BC
713 SW 118TH ST
SEATTLE, WA 98146-2830
Phone number: 808-348-1472
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