JESSY KRALLUM, FNP-C
Nurse Practitioner
Active
Individual
NPI: 1508498015
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Nurse Practitioner - Family | 363LF0000X | No | 202001367NP-PP (OR) |
| Nurse Practitioner | 363L00000X | Yes | AP61044253 (WA) |
Frequently Asked Questions
NPI 1508498015 is the National Provider Identifier for JESSY KRALLUM, FNP-C, a Nurse Practitioner provider located in Tacoma, WA. This NPI was enumerated on February 12, 2020.
JESSY KRALLUM, FNP-C practices at 6240 TACOMA MALL BLVD STE 101, Tacoma, WA 98409.
Quick Facts
- NPI
- 1508498015
- Type
- Individual
- Enumerated
- Feb 12, 2020
- Last Updated
- Apr 9, 2021
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