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

JESSY KRALLUM, FNP-C

Active

JESSY KRALLUM, FNP-C is a Nurse Practitioner healthcare provider located in TACOMA, Washington. NPI 1508498015 is currently active in the NPPES registry. Verify at CMS.

Nurse Practitioner · TACOMA, WA

Registration Details

NPI Number
1508498015
Provider Type
Individual
Gender
Male
NPI Issued
Feb 12, 2020 (6.5058906876177 yrs)
Last Updated
Apr 9, 2021
Licenses
202001367NP-PP (OR)
AP61044253 (WA)

Practice Information

Address
6240 TACOMA MALL BLVD STE 101
TACOMA, WA, 984096819
Browse WA providers · Browse ZIP 98409
Phone
2532719720
Fax
7205980440
Primary Specialty
Nurse Practitioner
363L00000X
Additional Specialty
Nurse Practitioner

Other Nurse Practitioner Providers in TACOMA, WA

Name Credential NPI
SHARON K JUNG ARNP 1699770628
MRS. DENISE MARIE HALASZ ARNP 1841296886
SUSAN E FERREIRA ARNP 1205832839
MRS. BECKY JEAN PRIDEAUX BLODGETT ARNP 1942274204
WENDY L SWEARINGEN ARNP 1235103433
TONIA L MARINE FNP 1730154279
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.