MEDICARE: SULAYMAN JAGNE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163WH0200X	Home Health Registered Nurse	RN60021427	WA

General Provider Information

NPI Number	:	1588509343
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SULAYMAN JAGNE

Provider Business Mailing Address
First Line	:	13768 199TH AVE SE
Second Line	:
City	:	MONROE
State	:	WA
Zip	:	98272-8509
Country	:	US
Telephone Number	:	206-979-5267
Fax Number	:

Provider Business Practice Location Address
First Line	:	13768 199TH AVE SE
Second Line	:
City	:	MONROE
State	:	WA
Zip	:	98272-8509
Country	:	US
Telephone Number	:	206-979-5267
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/20/2026
Last Update Date	:	04/20/2026

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Directions to “ SULAYMAN JAGNE ” Practice Location

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