Healthcare Provider Details

I. General information

NPI: 1841063880
Provider Name (Legal Business Name): ALIX ELLISON JONES-ALVEY ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ALIX ELLISON JONES

II. Dates (important events)

Enumeration Date: 11/01/2023
Last Update Date: 11/01/2023
Certification Date: 11/01/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6837 29TH AVE NE
SEATTLE WA
98115-7236
US

IV. Provider business mailing address

15855 NE 160TH ST
WOODINVILLE WA
98072-8910
US

V. Phone/Fax

Practice location:
  • Phone: 206-471-9666
  • Fax:
Mailing address:
  • Phone: 206-419-7480
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LG0600X
TaxonomyGerontology Nurse Practitioner
License NumberAP61498205
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN60970769
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: