MEDICARE: JIAYING XU ARNP, DNP

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	363L00000X	Nurse Practitioner	RN.RN.61203945	WA
2	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	ARNP.AP.70117805-NP	WA

General Provider Information

NPI Number	:	1902587363
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JIAYING XU ARNP, DNP

Provider Business Mailing Address
First Line	:	PO BOX 50095
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98145-5095
Country	:	US
Telephone Number	:	206-520-5700
Fax Number	:

Provider Business Practice Location Address
First Line	:	1959 NE PACIFIC ST
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98195-0001
Country	:	US
Telephone Number	:	206-598-3300
Fax Number	:

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

Provider Enumeration Date	:	07/28/2023
Last Update Date	:	06/01/2026

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