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

Jacob Steven Samuel Johnson, RN

Individual provider Home Health Registered Nurse · NPI 1609617158

Jacob Steven Samuel Johnson, RN is a Home Health Registered Nurse in Tacoma, Washington. Licensed in Washington. Registered with an NPI since 2024.

Licensed in
WA
In the registry since
2024
Specialties on file
2
What do these letters mean?
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.

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Practice location Address checks out

1313 Broadway Ste 200
Tacoma, WA 98402-3400
Phone: (206) 301-6400
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Hospice Registered Nurse (primary) Taxonomy 163WH1000X · Licence RN60479564 (WA)
Home Health Registered Nurse Taxonomy 163WH0200X · Licence RN60479564 (WA)

Record details

NPI number1609617158
Entity typeIndividual (Type 1)
GenderMale
Credentials RN
Sole proprietorNo
NPI enumeratedJune 6, 2024
Last updated in NPPESJune 6, 2024
Certification dateJune 6, 2024
Mailing addressPo Box 5200, Tacoma, WA 98415-0200

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