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

Jessy Krallum, FNP-C

Individual provider Family Nurse Practitioner · NPI 1508498015

Jessy Krallum, FNP-C is a Nurse Practitioner in Tacoma, Washington. Qualified in 2019, 7 years ago. Practices with Dispatchhealth Washington PC, a 48-clinician group and accepts Medicare assignment. Licensed in Oregon and Washington.

Years since qualifying
7
Licensed in
OR, WA
In the registry since
2020
Specialties on file
2
What do these letters mean?
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

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Practice location Address checks out

6240 Tacoma Mall Blvd Ste 101
Tacoma, WA 98409-6819
Phone: (253) 271-9720
Fax: (720) 598-0440
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence AP61044253 (WA)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 202001367NP-PP (OR)

Record details

NPI number1508498015
Entity typeIndividual (Type 1)
GenderMale
Credentials FNP-C
Sole proprietorNo
NPI enumeratedFebruary 12, 2020
Last updated in NPPESApril 9, 2021
Certification dateMarch 22, 2021

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Dispatchhealth Washington Pc — 48 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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