Healthcare Provider Details

I. General information

NPI: 1982511267
Provider Name (Legal Business Name): JESSICA BUNNY SANCHEZ LPN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/25/2026
Last Update Date: 09/10/2026
Certification Date: 09/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

201 16TH AVE E
SEATTLE WA
98112-5226
US

IV. Provider business mailing address

4275 S PINE ST APT A213
TACOMA WA
98409-6579
US

V. Phone/Fax

Practice location:
  • Phone: 206-326-4555
  • Fax:
Mailing address:
  • Phone: 206-271-8929
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code164W00000X
TaxonomyLicensed Practical Nurse
License NumberLP70045928
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code164W00000X
TaxonomyLicensed Practical Nurse
License Number717720
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: