Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Primary Care Clinic for Adults LLC

Organization Nurse Practitioner · NPI 1386828846

Primary Care Clinic for Adults LLC is a Nurse Practitioner in Shoreline, Washington. Licensed in Washington. Registered with an NPI since 2007.

Licensed in
WA
In the registry since
2007
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

20011 Ballinger Way NE Ste 202
Shoreline, WA 98155-1286
Phone: (425) 806-8360
Fax: (425) 250-8566
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence AP30005666 (WA)

Record details

NPI number1386828846
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jaclyn Wilson — Medical Assistant · (425) 806-8360
NPI enumeratedDecember 19, 2007
Last updated in NPPESApril 11, 2023
Certification dateApril 11, 2023
Mailing address20011 Ballinger Way Ne Ste 202, Shoreline, WA 98155-1286

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