Healthcare Provider Details

I. General information

NPI: 1417876590
Provider Name (Legal Business Name): SOUND WELLNESS APRN PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/13/2026
Last Update Date: 07/13/2026
Certification Date: 07/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3632 RUCKER AVE APT 303
EVERETT WA
98201-5119
US

IV. Provider business mailing address

522 W RIVERSIDE AVE STE 10241
SPOKANE WA
99201-0580
US

V. Phone/Fax

Practice location:
  • Phone: 425-645-6781
  • Fax:
Mailing address:
  • Phone: 425-645-6781
  • Fax: 425-249-3282

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: JENNIFER RODRIGUEZ
Title or Position: NURSE PRACTITIONER
Credential: PMHNP-BC
Phone: 425-645-6781