Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207VG0400X | Gynecologist | AP30005373 | WA |
N | 207VG0400X | Gynecologist | RN00127171 | WA |
Y | 363LA2200X | Nurse Practitioner - Adult Health | 004630 | CT |
NPI | 1053392837 |
---|---|
Provider Name | Jill M Mceachern |
First Address | Seattle, WA 98133-9451 |
Second Address | Seattle, WA 98133-9451 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/11/2005 |
Last Update Date | 27/01/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
P60084 | (02) | WA |