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General NPI Number Information
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NPI Number | 1619224508
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Entity Type | Individual
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Provider Name | JASON FREDERICK STUTZMAN FNP-BC, MSN, BSN
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Gender | Male
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Dates
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Enumeration Date | 08/09/2012
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Last Update Date | 04/24/2025
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Provider Practice Location Address
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Address Line | 220 OLYMPIC BLVD
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City | EVERETT
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State | WA
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Zip | 98203-1918
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Country | US
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Telephone | 206-582-4601
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Fax | 206-582-4698
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Provider Business Mailing Address
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Address Line | 8214 156TH ST SE
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City | SNOHOMISH
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State | WA
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Zip | 98296-8728
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Country | US
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Telephone | 559-321-6211
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | AP60581583
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | AP60581583
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License Number State | WA
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 21511
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License Number State | CA
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Taxonomy #4
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Taxonomy Code | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | AP60581583
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License Number State | WA
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