IndividualActive
Jungjoo Yi
NPI 1083022123 · Gerontology Nurse Practitioner · Puyallup, WA
Provider details
- NPI number
- 1083022123
- Entity type
- Individual
- Primary specialty
- Gerontology Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- No
- License
- AP60493638 (WA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Practice location
10217 125th Street Ct E
Puyallup, WA 98374-2761
Phone: (253) 864-4550
Approximate (ZIP-level) locationGet directions
Mailing address
10217 125th Street Ct E
Puyallup, WA 98374-2761
Additional practice locations (1)
- 201 16th Ave ESeattle, WA 98112-5226Phone: (206) 326-3000
Registry dates
- Enumerated
- 2014-07-31
- Last updated
- 2021-06-24
- Certified
- 2021-06-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.