JACKIE SHAFFER - NPI 1205535804 - Licensed Practical Nurse in Shelton, WA

Q: What is Jackie Shaffer's NPI number?

The NPI number for Jackie Shaffer is 1205535804. It was assigned to this individual provider in the NPPES registry on March 2, 2023.

Q: What is Jackie Shaffer's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

Q: When was this NPI record last updated?

The NPPES record for Jackie Shaffer was last updated on March 2, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Jackie Shaffer NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACKIE SHAFFER (NPI 1205535804) is an individual licensed practical nurse in Shelton, Washington, licensed in Washington (LP60198375) and active in the NPI registry since March 2023.

NPPES Registry Identity

NPI1205535804

Entity TypeIndividualFemale

Primary Taxonomy164W00000X

Provider Legal NameJACKIE SHAFFER

Location Address307 W COTA STShelton, WA 98584-2265

Mailing Address307 W Cota StShelton, WA 98584-2265 · (360) 205-8010

Phone(360) 205-8010

Sole ProprietorYes

Enumeration DateMarch 2, 2023

NPPES CertifiedMarch 2, 2023

✔ NPI 1205535804 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers

Taxonomy Code164W00000X

License✔ Licensed in WA · LP60198375

Definition

A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

307 W COTA ST, Shelton, WA 98584

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