Healthcare Provider Details

I. General information

NPI: 1205731239
Provider Name (Legal Business Name): JESSICA SYMANK RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

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

III. Provider practice location address

14570 5TH AVE NE
SHORELINE WA
98155-6902
US

IV. Provider business mailing address

14570 5TH AVE NE
SHORELINE WA
98155-6902
US

V. Phone/Fax

Practice location:
  • Phone: 206-218-4501
  • Fax:
Mailing address:
  • Phone: 206-218-4501
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License NumberRN00148831
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: