1. Home
  2. Directory
  3. Washington
  4. Longview
  5. Nurse Practitioner
  6. NPI Profile

MARY LUCILLE JANSMA ARNP
NPI 1811060874
Nurse Practitioner in Longview, WA

Active since November 16, 2006
600 N. BROADWAY, LONGVIEW, WA 98632(360) 414-2177(360) 414-2210 Get Directions Write a Review

NPPES record last updated: November 14, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mary Lucille Jansma Arnp NPPES

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

MARY LUCILLE JANSMA ARNP (NPI 1811060874) is an individual nurse practitioner in Longview, Washington, licensed in Washington (AP30005737) and active in the NPI registry since November 2006.

NPPES Registry Identity

NPI1811060874
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMARY LUCILLE JANSMACredential: ARNP
Location Address600 N. BROADWAYLongview, WA 98632-0302
Mailing AddressPo Box 3002, 600 N. BroadwayLongview, WA 98632-0302 · (360) 414-2177 · Fax (360) 414-2210
Phone(360) 414-2177
Fax(360) 414-2210
Sole ProprietorNo
Enumeration DateNovember 16, 2006
Last NPPES UpdateNovember 14, 2007
✔ NPI 1811060874 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in WA · AP30005737
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License AP30005737 (WA)
600 N. BROADWAY, Longview, WA 98632
Open in Google Maps ↗

Other Identifiers 5

Other0220991WA · Labor & Ind.
Medicaid9652611WA
Medicare UPINP57350OR
Other8944406WA · Crime Victims
Medicare PIN8865710WA

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mary Jansma's NPI number?

The NPI number for Mary Jansma is 1811060874. It was assigned to this individual provider in the NPPES registry on November 16, 2006.

Where is Mary Jansma located?

Mary Jansma practices at 600 N. Broadway, Longview, WA 98632. The listed phone number is (360) 414-2177.

What is Mary Jansma's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Mary Jansma was last updated on November 14, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.