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

Jody Gustafson

Individual provider Registered Nurse · NPI 1922945583

Jody Gustafson is a Registered Nurse in Soap Lake, Washington. Licensed in Washington. Registered with an NPI since 2026.

Licensed in
WA
In the registry since
2026

Practice location Address checks out

410 Ginkgo St S
Soap Lake, WA 98851-9166
Phone: (509) 246-1323
Fax: (509) 246-0669
Show map & directions

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

Specialties & licences

Registered Nurse (primary) Taxonomy 163W00000X · Licence 60720556 (WA)

Record details

NPI number1922945583
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 1, 2026
Last updated in NPPESMay 1, 2026
Certification dateMay 1, 2026
Mailing address11367 Road B.2 Nw, Ephrata, WA 98823-7809

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