National Provider Identifier Database

JACKIE L WANTLAND, RN – NPI #1134994916
Wound Care


Contact Information

JACKIE L WANTLAND, RN
7 S 10TH AVE
YAKIMA, WA98902-3318
Phone: 509-575-5093
Fax:
Website:
Specialty Taxonomy Code
* Wound Care 163WW0000X

* Indicates primary specialty

NPI Profile & details for JACKIE L WANTLAND

NPI Number 1134994916
Credentials RN (Registered Nurse)
Entity Individual
Enumeration date 11/21/2023
Last updated 11/21/2023 - About 3 years ago
Sole proprietor1 No
Identifiers
  • WA License #: RN00169179
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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