KELLY JEANE DEYOUNG

TACOMA, WA
NPI1578177747
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LA2100X Nurse Practitioner, Acute Care
(Licence: WA  AP61462903)
Additional Taxonomies163W00000X Registered Nurse
(Licence: WA  RN60089101)
363L00000X Nurse Practitioner
(Licence: WA  AP61462903)
Enumeration Date2020-09-03
Last Update Date2024-12-18
Business Address
KELLY JEANE DEYOUNG ARNP
3901 S FIFE ST
TACOMA, WA 98409-7309
Phone number: 253-301-6400
Mailing Address
KELLY JEANE DEYOUNG ARNP
3901 S FIFE ST
TACOMA, WA 98409-7309
Phone number: 253-301-6400