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Contact Information

JASON S GLADE, NP
1268 LEE BOULEVARD
RICHLAND, WA99352
 Phone: 509-942-2660
 Fax: 509-942-3836
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Practitioner

363L00000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for JASON S GLADE · (Male)

NPI # 1083634620
Status Active
Credentials NP (Nurse Practitioner)
Entity Individual
Enumeration date 07/19/2006
Last updated 03/01/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • UT License # 309994-4405
  • WA License # AP30007491
  • WA Medicaid 1083634620
  • Other 500030524 PALMETTO
  • UT Other 30999444000001 BCBS OF UTAH
  • WA Other 0335446 LABOR & INDUSTRIES
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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