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

MS. Jacquelyn Lou Banasik, MNARNP

Individual provider Family Medicine Physician · NPI 1174518021

MS. Jacquelyn Lou Banasik, MNARNP is a Family Medicine Physician in Spokane, Washington. Practices as a sole proprietor and works from 2 locations. Licensed in Washington.

Licensed in
WA
In the registry since
2005
Specialties on file
2

Practice location Address checks out

103 E Spokane Falls Blvd Nurs 447
Spokane, WA 99202
Phone: (509) 324-7269
Fax: (509) 324-7341
Show map & directions

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

Additional practice locations (1)

  • 107 S Division St, Spokane, WA 99202-1510 — (509) 838-4651

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence AP30003996 (WA)
Family Medicine Physician Taxonomy 207Q00000X · Licence AP30003996 (WA)

Record details

NPI number1174518021
Entity typeIndividual (Type 1)
GenderFemale
Credentials MNARNP
Sole proprietorYes
NPI enumeratedSeptember 16, 2005
Last updated in NPPESMay 22, 2018

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