Provider Demographics
NPI:1477189785
Name:MACPHERSON, JAMIE L (MSN, ARNP, CPNP-PC)
Entity type:Individual
Prefix:
First Name:JAMIE
Middle Name:L
Last Name:MACPHERSON
Suffix:
Gender:F
Credentials:MSN, ARNP, CPNP-PC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4409 E LANE PARK RD
Mailing Address - Street 2:
Mailing Address - City:MEAD
Mailing Address - State:WA
Mailing Address - Zip Code:99021-9425
Mailing Address - Country:US
Mailing Address - Phone:509-385-8173
Mailing Address - Fax:
Practice Address - Street 1:34705 N NEWPORT HWY
Practice Address - Street 2:
Practice Address - City:CHATTAROY
Practice Address - State:WA
Practice Address - Zip Code:99003-7810
Practice Address - Country:US
Practice Address - Phone:509-292-2001
Practice Address - Fax:509-292-2006
Is Sole Proprietor?:No
Enumeration Date:2020-03-18
Last Update Date:2024-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAP61541857363LP0200X
WARN60709466163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics
No163W00000XNursing Service ProvidersRegistered Nurse