IndividualActive
Mary Jane Long
NPI 1508219734 · Administrator Registered Nurse · Tacoma, WA
Provider details
- NPI number
- 1508219734
- Entity type
- Individual
- Primary specialty
- Administrator Registered NurseNursing Service Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- 60497344 (WA)
Specialties & taxonomies
Nursing Service Providers
Practice location
Mamc 9040 Jackson Ave
Attn: Mchj-Clq-C
Tacoma, WA 98431-0001
Phone: (253) 224-3815
Approximate (ZIP-level) locationGet directions
Mailing address
Mamc 9040 Jackson Ave
Tacoma, WA 98431-0001
Registry dates
- Enumerated
- 2016-07-23
- Last updated
- 2016-07-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.