MEDICARE: JOCELYN VELAZQUEZ

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LP0200X	Pediatric Nurse Practitioner	ARNP.AP.70078	WA

General Provider Information

NPI Number	:	1568952257
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOCELYN VELAZQUEZ

Provider Business Mailing Address
First Line	:	999 HIAWATHA PL S APT 227
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98144-2861
Country	:	US
Telephone Number	:	818-430-4508
Fax Number	:

Provider Business Practice Location Address
First Line	:	450 NW GILMAN BLVD STE 105
Second Line	:
City	:	ISSAQUAH
State	:	WA
Zip	:	98027-2483
Country	:	US
Telephone Number	:	425-651-4242
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/17/2018
Last Update Date	:	12/10/2025

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Directions to “ JOCELYN VELAZQUEZ ” Practice Location

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