Healthcare Provider Details

I. General information

NPI: 1255293262
Provider Name (Legal Business Name): JEWEL PSYCH & WELLNESS PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/27/2025
Last Update Date: 11/28/2025
Certification Date: 11/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

707 228TH ST SW
BOTHELL WA
98021-9733
US

IV. Provider business mailing address

19921 6TH PL W
LYNNWOOD WA
98036-7288
US

V. Phone/Fax

Practice location:
  • Phone: 206-212-1284
  • Fax:
Mailing address:
  • Phone: 206-371-3503
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: JENNIFER ALCANTARA
Title or Position: OWNER
Credential: ARNP, PMHNP-BC
Phone: 206-371-3503