JILL ELLEN STACK

SEATTLE, WA
NPI1215767975
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP0808X Nurse Practitioner Psychiatric/Mental Health
(Licence: WA  AP61593905)
Enumeration Date2024-08-06
Last Update Date2024-08-06
Business Address
JILL ELLEN STACK PMHNP-BC
2111 N NORTHGATE WAY STE 216
SEATTLE, WA 98133-9018
Phone number: 253-765-9132
Mailing Address
JILL ELLEN STACK PMHNP-BC
713 SW 118TH ST
SEATTLE, WA 98146-2830
Phone number: 808-348-1472
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