Healthcare Provider Details

I. General information

NPI: 1669036240
Provider Name (Legal Business Name): JAMI TAYLOR ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/29/2019
Last Update Date: 04/29/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11232 NE 15TH ST STE 201
BELLEVUE WA
98004-3739
US

IV. Provider business mailing address

11232 NE 15TH ST STE 201
BELLEVUE WA
98004-3739
US

V. Phone/Fax

Practice location:
  • Phone: 425-646-4700
  • Fax:
Mailing address:
  • Phone: 425-646-4700
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VE0102X
TaxonomyReproductive Endocrinology Physician
License NumberAP60929809
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: