JACQUELINE JANE CORDOVA (NPI# 1174012223) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174012223 |
| Entity Type | Individual |
| Full Name | JACQUELINE JANE CORDOVA |
| Credential | ARNP, WHNP-BC |
| Practice Address |
402 Legion Way Se Olympia WA 98501-1494 |
| Mailing Address |
Po Box 24547 Seattle WA 98124-0547 |
| Practice Telephone | 4082059437 |
| Enumeration Date | 2018-05-04 |
| Last Update Date | 2019-07-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LW0102X |
Nurse Practitioner Specialization: Women's Health |
AP60824126 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508388984 | Jacqueline S Cordova | Technician, Other | 41521 W. 11 Mile Rd, Novi, MI 48375 | 2017-07-07 |
| Street Address |
402 LEGION WAY SE |
| City | OLYMPIA |
| State | WA |
| Zip Code | 98501-1494 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902975311 | Willie Ollie Hunt | Nurse Practitioner | 402 Legion Way Se, Olympia, WA 98501-1494 | 2006-11-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124651880 | Marie T Bendig | Counselor | 900 Fairview St Se, #b5, Olympia, WA 98501 | 2020-02-20 |
| 1205469970 | Thurston County Fire Protection Dist 6 | Ambulance | 8047 Normandy St. Se, Olympia, WA 98501 | 2020-02-20 |
| 1134768799 | Living Sound Therapeutic Services, Pllc | Counselor | 729 Devoe St Se, Olympia, WA 98501 | 2019-12-31 |
| 1336797273 | Sea-mar Community Health Center | Dentist | 6004 Capitol Ave Sw, Tumwater, WA 98501 | 2019-09-03 |
| 1093272841 | Eye Love Pllc | Optometrist | 3409 Capitol Blvd Se, Tumwater, WA 98501 | 2019-02-28 |
| 1356815062 | Kerri Wright | Marriage & Family Therapist | 208 Lee St Sw Ste 108, Tumwater, WA 98501 | 2019-01-15 |
| 1952881161 | Paige Gautreaux | Peer Specialist | 908 5th Avenue Se, Olympia, WA 98501 | 2018-08-16 |
| 1548773997 | Carla Van Dam | Psychologist | 2620 Rw Johnson Blvd Sw Suite 204, Tumwater, WA 98501 | 2017-11-08 |
| 1528577202 | Ronald John San Nicolas | Counselor | 1011 10th Ave, Olympia, WA 98501 | 2017-09-25 |
| 1063964187 | Emily Rapesak | Pharmacist | 500 Cleveland Ave Se, Tumwater, WA 98501 | 2016-10-25 |
| Find all providers in zip 98501 | ||||
| Taxonomy Code | 363LW0102X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Women's Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447568563 | Polly Kay Taylor | Nurse Practitioner | 2700 Evergreen Parkway Nw, Sem 1, Room 2110, The Evergreen Sate College Student Health Center, Olympia, WA 98505 | 2010-09-23 |
| 1508921206 | Mary Christine Knutson | Nurse Practitioner | 717 Cushing St Sw, Olympia, WA 98502-5112 | 2006-12-25 |
| 1902975311 | Willie Ollie Hunt | Nurse Practitioner | 402 Legion Way Se, Olympia, WA 98501-1494 | 2006-11-07 |
| 1710975719 | Sharon Lynn Taggart | Nurse Practitioner | 402 Legion Way Ste 201, Olympia, WA 98501 | 2005-10-12 |
| 1609398346 | Tiffani Buck | Nurse Practitioner | 310 Israel Rd Se, Olympia, WA 98504-7880 | 2017-07-14 |
| 1770790990 | Stephine A Heitkemper | Nurse Practitioner | 200 Lilly Rd Ne, Bldg 2, Olympia, WA 98506-5427 | 2007-05-17 |
| 1174602635 | Nancy Young | Nurse Practitioner | 413 Lilly Road Ne, Sexual Assault Clinic, Olympia, WA 98506 | 2006-11-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871190835 | Women's Mobile Medical. LLC | Nurse Practitioner | 701 E 49th St, Tacoma, WA 98404-2025 | 2020-10-02 |
| 1992323018 | Megan Louise Bedker | Nurse Practitioner | 3003 80th Ave Se, Mercer Island, WA 98040-2915 | 2020-07-07 |
| 1114557196 | Scarlett Owen Duncan | Nurse Practitioner | 27121 174th Pl Se Ste 201, Covington, WA 98042-4939 | 2020-01-18 |
| 1346889250 | Kaylee Meilahn | Nurse Practitioner | 219 State Ave. N, Suite 220, Kent, WA 98030 | 2019-12-26 |
| 1508403858 | New U Women's Clinic & Aesthetics Pllc | Nurse Practitioner | 35 S Louisiana St, Suite A120, Kennewick, WA 99336 | 2019-12-05 |
| 1174008106 | Nicole Ann Bazzetta | Nurse Practitioner | 1901 S Union Ave Ste 2006, Tacoma, WA 98405-1702 | 2018-09-25 |
| 1174000178 | Emily K Ernst | Nurse Practitioner | 4525 S 19th St, Tacoma, WA 98405-1106 | 2018-07-23 |
| 1770079493 | Erica Lauren Nunez | Nurse Practitioner | 5020 Roosevelt Way Ne Ste 1, Seattle, WA 98105-3644 | 2018-07-05 |
| 1659881001 | Kathryn Conkling | Nurse Practitioner | 10210 State Ave, Marysville, WA 98271-7214 | 2017-10-11 |
| 1033575113 | Amanda Jane Holen | Nurse Practitioner | 202 State Avenue North, Kent, WA 98031 | 2016-01-05 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on JACQUELINE JANE CORDOVA.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.