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

Jacqueline Marie Ferdowsali, AGACNP

Individual provider Acute Care Nurse Practitioner · NPI 1215278759

Jacqueline Marie Ferdowsali, AGACNP is a Nurse Practitioner in Vancouver, Washington. Qualified in 2013, 13 years ago. Practices with Peacehealth, a 248-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Nevada, Utah and Washington.

Years since qualifying
13
Licensed in
NV, UT, WA
In the registry since
2013
Specialties on file
3
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Practice location Address checks out

200 NE Mother Joseph Pl Ste 330
Vancouver, WA 98664-3288
Phone: (360) 514-2990
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1470 Medical Pkwy, Carson City, NV 89703-4648 — (775) 445-7650

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence AP60879539 (WA)
Acute Care Nurse Practitioner Taxonomy 363LA2100X · Licence APN001499 (NV)
Acute Care Nurse Practitioner Taxonomy 363LA2100X · Licence 11330828-4405 (UT)

Record details

NPI number1215278759
Entity typeIndividual (Type 1)
GenderFemale
Credentials AGACNP
Sole proprietorNo
NPI enumeratedMarch 7, 2013
Last updated in NPPESApril 7, 2020
Certification dateApril 7, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Peacehealth — 248 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Vancouver