MR. BRADLEY GAIL JELLERICHS A.R.N.P. NPI 1841436417

NPI Information

NPI: 1841436417
Provider Name: MR. BRADLEY GAIL JELLERICHS, A.R.N.P.
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
34616 11TH PL S STE 2
FEDERAL WAY, WA
ZIP 98003
Phone: (425) 835-3394
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MR. Bradley Gail Jellerichs, A.R.N.P. is a family nurse practitioner in Federal Way, WA with 15 years of experience. MR. Bradley Gail Jellerichs, A.R.N.P. NPI is 1841436417. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

34616 11TH PL S STE 2
FEDERAL WAY, WA
ZIP 98003-705
Phone: (425) 835-3394

The NPI 1841436417 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 12/31/2008 and was last updated on 10/15/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163W00000X	Registered Nurse		RN 60023039	WASHINGTON	No
2	207N00000X	Dermatology		60128753	WASHINGTON	No
3	207QA0401X	Family Medicine	Addiction Medicine	60128753	WASHINGTON	No
4	363LF0000X	Nurse Practitioner	Family	AP60128753	WASHINGTON	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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