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

JACQUELINE PROUDFOOT, M.D., M.P.H.

Active

JACQUELINE PROUDFOOT, M.D., M.P.H. is a Family Medicine healthcare provider located in BELFAIR, Washington. NPI 1407261001 is currently active in the NPPES registry. Verify at CMS.

Family Medicine · BELFAIR, WA

Registration Details

NPI Number
1407261001
Provider Type
Individual
Gender
Female
NPI Issued
Jun 23, 2014 (11.962361780854 yrs)
Last Updated
Mar 7, 2022
Licenses
A141233 (CA)
60999446 (WA)

Practice Information

Address
31 NE STATE ROUTE 300 STE 200
BELFAIR, WA, 985288668
Browse WA providers · Browse ZIP 98528
Phone
3603773776
Primary Specialty
Family Medicine
207Q00000X
Additional Specialty
Family Medicine

Other Family Medicine Providers in BELFAIR, WA

Name Credential NPI
DR. LANE W JOHNSON MD 1710949789
TROY SLOVER MD 1902249063
MS. HANNAH ELIZABETH BOOTH ERICKSON PA-C 1326706052
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.