JACK CALVERT ARNP NPI 1679631436

NPI Information

  • NPI: 1679631436
  • Provider Name: JACK CALVERT, ARNP
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Individual
  • Address: 401 ANDERSON RD
    SELAH, WA
    ZIP 98942
  • Phone: (509) 698-3318

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NPI Details

Jack Calvert, ARNP is a family medicine in Selah, WA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. Jack Calvert, ARNP NPI is 1679631436. 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:

401 ANDERSON RD
SELAH, WA
ZIP 98942-478
Phone: (509) 698-3318

The enumeration date for this NPI number is 12/5/2006 and was last updated on 7/8/2007.

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
1207Q00000XFamily MedicineAP30002093WASHINGTONYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1AP30002093OTHERWASHINGTONSTATE OF WA ARNP LICENSE

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: 11/21/2025

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