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

Jeremiah Nordstrom

Individual provider Registered Nurse · NPI 1710772116

Jeremiah Nordstrom is a Registered Nurse in Walla Walla, Washington. Licensed in Washington. Registered with an NPI since 2025.

Licensed in
WA
In the registry since
2025

Practice location Address checks out

1520 Kelly Pl Ste 234
Walla Walla, WA 99362-8607
Phone: (509) 524-2920
Show map & directions

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

Specialties & licences

Registered Nurse (primary) Taxonomy 163W00000X · Licence RN61202303 (WA)

Record details

NPI number1710772116
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 14, 2025
Last updated in NPPESApril 14, 2025
Certification dateApril 14, 2025

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