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

Jodi Granger

Individual provider Licensed Practical Nurse · NPI 1588219802

Jodi Granger is a Licensed Practical Nurse in Tulalip, Washington. Practices as a sole proprietor. Licensed in Washington.

Licensed in
WA
In the registry since
2019
Specialties on file
2

Practice location Address checks out

13820 19th Ave NE
Tulalip, WA 98271-6706
Phone: (425) 238-3643
Show map & directions

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

Specialties & licences

Registered Nurse (primary) Taxonomy 163W00000X · Licence RN61051755 (WA)
Licensed Practical Nurse Taxonomy 164W00000X · Licence LP60978864 (WA)

Record details

NPI number1588219802
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedAugust 4, 2019
Last updated in NPPESDecember 20, 2022
Certification dateDecember 20, 2022
Mailing address12315 Rainbow Dr, Arlington, WA 98223-5875

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