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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JEREMY GLENN NUGENT, CM60686561

Active Sole Proprietor

JEREMY GLENN NUGENT, CM60686561 is a Emergency Medical Services healthcare provider located in CENTRALIA, Washington. NPI 1205793395 is currently active in the NPPES registry. Verify at CMS.

Emergency Medical Services · CENTRALIA, WA

Registration Details

NPI Number
1205793395
Provider Type
Individual
Gender
Male
NPI Issued
Jan 8, 2026 (0.63383592164999 yrs)
Last Updated
Jan 8, 2026
License
CM6066561 (WA)
Sole Proprietor
Yes

Practice Information

Address
3510 STEELHAMMER DR
CENTRALIA, WA, 985311532
Browse WA providers · Browse ZIP 98531
Phone
3606238056
Fax
3606231072
Primary Specialty
Emergency Medical Services
207PE0004X

Other Emergency Medical Services Providers in CENTRALIA, WA

Name Credential NPI
MARC REISWIG MD 1780610311
PAUL K SUNDERLAND MD 1497782486
STANLEY WADE ROBINSON MD 1740218205
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.