IndividualActive
Jeremy Nugent, CM60686561
NPI 1205793395 · Emergency Medical Services (Emergency Medicine) Physician · Centralia, WA
Provider details
- NPI number
- 1205793395
- Entity type
- Individual
- Primary specialty
- Emergency Medical Services (Emergency Medicine) PhysicianAllopathic & Osteopathic Physicians
- Credential
- CM60686561
- Sex
- Male
- Sole proprietor
- Yes
- License
- CM6066561 (WA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
3510 Steelhammer Dr
Centralia, WA 98531-1532
Phone: (360) 623-8056
Fax: (360) 623-1072
Approximate (ZIP-level) locationGet directions
Mailing address
10503 Creek St Se Unit 115
Yelm, WA 98597-8678
Registry dates
- Enumerated
- 2026-01-08
- Last updated
- 2026-01-08
- Certified
- 2026-01-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.