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

Jackie Shaffer

Individual provider Licensed Practical Nurse · NPI 1205535804

Jackie Shaffer is a Licensed Practical Nurse in Shelton, Washington. Practices as a sole proprietor. Licensed in Washington.

Licensed in
WA
In the registry since
2023

Practice location Address checks out

307 W Cota St
Shelton, WA 98584-2265
Phone: (360) 205-8010
Show map & directions

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

Specialties & licences

Licensed Practical Nurse (primary) Taxonomy 164W00000X · Licence LP60198375 (WA)

Record details

NPI number1205535804
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMarch 2, 2023
Last updated in NPPESMarch 2, 2023
Certification dateMarch 2, 2023
Mailing address307 W Cota St, Shelton, WA 98584-2265

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