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Contact Information

JASON L WHITNEY, ARNP FNP-C
13051 US HWY 12
STE 2
PACKWOOD, WA98361
 Phone: 360-496-3777
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for JASON L WHITNEY · (Male)

NPI # 1285274167
Status Active
Credentials ARNP FNP-C
Entity Individual
Enumeration date 01/08/2020
Last updated 02/02/2024 - About 2 years ago
Sole proprietor 1 No
Identifiers
  • WA License # AP61034006
  • WA Medicaid AP61034006
Hospital affiliation(s)
  • PEACHEALTH ST JOHN MEDICAL CENTER - (Acute Care)
    1615 DELAWARE STREET
    LONGVIEW, WA 98632
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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