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NPI Code Detail

MEDICARE: DR. JESSICA GUPTILL WHEELER ARNP

MEDICARE: DR. JESSICA GUPTILL WHEELER ARNP
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
1363LF0000XFamily Nurse PractitionerAP60764043WA
2364SP0809XAdult Psychiatric/Mental Health Clinical Nurse SpecialistAP60991321WA

General Provider Information

NPI Number : 1811426521
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JESSICA GUPTILL WHEELER ARNP
Provider Business Mailing Address
First Line : 400 UNION AVE SE STE 200
Second Line :
City : OLYMPIA
State : WA
Zip : 98501-2060
Country : US
Telephone Number : 360-292-3059
Fax Number :
Provider Business Practice Location Address
First Line : 400 UNION AVE SE STE 200
Second Line :
City : OLYMPIA
State : WA
Zip : 98501-2060
Country : US
Telephone Number : 360-292-3059
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/06/2017
Last Update Date : 01/31/2025

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