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General NPI Number Information
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NPI Number | 1255293262
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Entity Type | Organization
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Legal Business Name | JEWEL PSYCH & WELLNESS PLLC
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Dates
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Enumeration Date | 11/27/2025
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Last Update Date | 11/28/2025
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Provider Practice Location Address
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Address Line | 707 228TH ST SW
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City | BOTHELL
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State | WA
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Zip | 98021-9733
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Country | US
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Telephone | 206-212-1284
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Fax |
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Provider Business Mailing Address
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Address Line | 19921 6TH PL W
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City | LYNNWOOD
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State | WA
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Zip | 98036-7288
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Country | US
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Telephone | 206-371-3503
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JENNIFER ALCANTARA
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Credential | ARNP, PMHNP-BC
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Telephone | 206-371-3503
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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