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SHELLY ARLENE JACKSON RN60434660
NPI 1811762495
Registered Nurse - Home Health in University Place, WA

Active since November 24, 2023
2901 BRIDGEPORT WAY W, UNIVERSITY PLACE, WA 98466(253) 534-7623(253) 534-7610 Get Directions Write a Review

NPPES record last updated: November 24, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Shelly Arlene Jackson Rn60434660 NPPES

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

SHELLY ARLENE JACKSON RN60434660 (NPI 1811762495) is an individual home health provider in University Place, Washington, licensed in Washington (RN60434660) and active in the NPI registry since November 2023.

NPPES Registry Identity

NPI1811762495
Entity TypeIndividualFemale
Primary Taxonomy163WH0200X
Provider Legal NameSHELLY ARLENE JACKSONCredential: RN60434660
Location Address2901 BRIDGEPORT WAY WUniversity Place, WA 98466-4614
Mailing Address2901 Bridgeport Way WUniversity Place, WA 98466-4614 · (253) 534-7623
Phone(253) 534-7623
Fax(253) 534-7610
Sole ProprietorNo
Enumeration DateNovember 24, 2023
NPPES CertifiedNovember 23, 2023
✔ NPI 1811762495 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRegistered Nurse · Home HealthNursing Service Providers
Taxonomy Code163WH0200X
License✔ Licensed in WA · RN60434660
2901 BRIDGEPORT WAY W, University Place, WA 98466
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Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

LINDA GAY LEPAPE MSN ARNP
Nurse Practitioner (Family)
2901 BRIDGEPORT WAY W
UNIVERSITY PLACE, WA 98466
Pierce County (253) 534-7000
MARILYN E PATTISON MD
Internal Medicine (Hospice and Palliative Medicine)
2901 BRIDGEPORT WAY W
UNIVERSITY PLACE, WA 98466
Pierce County (253) 534-7000
BRUCE D BRAZINA MD
Internal Medicine (Hospice and Palliative Medicine)
2901 BRIDGEPORT WAY W
UNIVERSITY PLACE, WA 98466
Pierce County (253) 534-7000
CHRISTINE COFER MD
Internal Medicine (Hospice and Palliative Medicine)
2901 BRIDGEPORT WAY W
UNIVERSITY PLACE, WA 98466
Pierce County (253) 534-7000
RONALD D NIELSEN MD
Internal Medicine
2901 BRIDGEPORT WAY W
UNIVERSITY PLACE, WA 98466
Pierce County (253) 534-7000
MR. MICHAEL LINDGREN RPH
Pharmacist
2901 BRIDGEPORT WAY W
UNIVERSITY PLACE, WA 98466
Pierce County (253) 534-7011
TAMMY D. BHANG ARNP
Nurse Practitioner (Adult Health)
2901 BRIDGEPORT WAY W
UNIVERSITY PLACE, WA 98466
Pierce County (253) 534-7000
MS. PAULA R THRALL ARNP
Nurse Practitioner (Family)
2901 BRIDGEPORT WAY W
UNIVERSITY PLACE, WA 98466
Pierce County (253) 534-7000
LAURA E BASILE ARNP
Nurse Practitioner (Family)
2901 BRIDGEPORT WAY W
UNIVERSITY PLACE, WA 98466
Pierce County (253) 534-7000
NANCY MURPHY ARNP
Nurse Practitioner
2901 BRIDGEPORT WAY W
UNIVERSITY PLACE, WA 98466
Pierce County (253) 534-7000
GLENDA MCGOWEN SHEPARD ARNP
Nurse Practitioner (Adult Health)
2901 BRIDGEPORT WAY W
UNIVERSITY PLACE, WA 98466
Pierce County (253) 534-7000
KYOUNG SOOK HONG ARNP
Nurse Practitioner (Family)
2901 BRIDGEPORT WAY W
UNIVERSITY PLACE, WA 98466
Pierce County (253) 534-7000
KAREN TERESA CHRISTOPHERSON RPH
Pharmacist
2901 BRIDGEPORT WAY W
UNIVERSITY PLACE, WA 98466
Pierce County (253) 534-7033
KRISTIN L MOULTINE LCSW
Social Worker (Clinical)
2901 BRIDGEPORT WAY W
UNIVERSITY PLACE, WA 98466
Pierce County (253) 534-7000
LISA FRANK RPH
Pharmacist
2901 BRIDGEPORT WAY W
UNIVERSITY PLACE, WA 98466
Pierce County (253) 534-7033
ELAINE KAREN BYRAM ARNP
Nurse Practitioner
2901 BRIDGEPORT WAY W
UNIVERSITY PLACE, WA 98466
Pierce County (253) 534-7000
HELEN LU PHARMD
Pharmacist
2901 BRIDGEPORT WAY W
UNIVERSITY PLACE, WA 98466
Pierce County (253) 534-7030
BETH A HUTCHASON ARNP
Nurse Practitioner
2901 BRIDGEPORT WAY W
UNIVERSITY PLACE, WA 98466
Pierce County (253) 534-7000
MS. CHRISTINA SANDRA HUMMES ARNP
Nurse Practitioner (Family)
2901 BRIDGEPORT WAY W
UNIVERSITY PLACE, WA 98466
Pierce County (253) 534-7000
MAUREEN ANN CALLAGHAN M.D.
Internal Medicine (Hospice and Palliative Medicine)
2901 BRIDGEPORT WAY W
UNIVERSITY PLACE, WA 98466
Pierce County (253) 534-7000

Frequently Asked Questions

What is Shelly Jackson's NPI number?

The NPI number assigned to this healthcare provider is 1811762495, enumerated as an "individual" on November 24, 2023.

Where is the provider located?

The provider is located at 2901 BRIDGEPORT WAY W UNIVERSITY PLACE, WA 98466 and the phone number is (253) 534-7623.

What is the provider's specialty?

Registered Nurse with taxonomy code 163WH0200X and a focus in Home Health.