IndividualActive
Jacob Johnson, RN
NPI 1609617158 · Hospice Registered Nurse · Tacoma, WA
Provider details
- NPI number
- 1609617158
- Entity type
- Individual
- Primary specialty
- Hospice Registered NurseNursing Service Providers
- Credential
- RN
- Sex
- Male
- Sole proprietor
- No
- License
- RN60479564 (WA)
Mailing address
Po Box 5200
Tacoma, WA 98415-0200
Registry dates
- Enumerated
- 2024-06-06
- Last updated
- 2024-06-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.