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

Jill Ellen Stack, PMHNP-BC

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1215767975

Jill Ellen Stack, PMHNP-BC is a Psychiatric/Mental Health Nurse Practitioner in Seattle, Washington. Licensed in Washington. Registered with an NPI since 2024.

Licensed in
WA
In the registry since
2024
What do these letters mean?
PMHNP-BC — Psychiatric-Mental Health Nurse Practitioner, Board Certified
A board-certified psychiatric nurse practitioner.

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Practice location Address checks out

101 Elliott Ave W Ste 500
Seattle, WA 98119-4292
Phone: (808) 348-1472
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence AP61593905 (WA)

Record details

NPI number1215767975
Entity typeIndividual (Type 1)
GenderFemale
Credentials PMHNP-BC
Sole proprietorNo
NPI enumeratedAugust 6, 2024
Last updated in NPPESOctober 22, 2024
Certification dateOctober 22, 2024
Mailing address713 Sw 118th St, Seattle, WA 98146-2830

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