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Contact Information

JORDAN I CUSICK
1550 N 115TH ST
SEATTLE, WA98133-8401
 Phone: 877-694-4677
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Acute Care

363LA2100X 50 Nurse Practitioner
 

Medical-Surgical

163WM0705X
Indicates primary specialty

NPI Profile & details for JORDAN I CUSICK · (Male)

NPI # 1356199913
Status Active
Credentials
Entity Individual
Enumeration date 05/08/2024
Last updated 04/22/2026 - About 1 months ago
Sole proprietor 1 No
Identifiers
  • WA License # AP70035123
  • WA License # RN61004355
Hospital affiliation(s) Not Available
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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