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

Shelly Arlene Jackson, RN60434660

Individual provider Home Health Registered Nurse · NPI 1811762495

Shelly Arlene Jackson, RN60434660 is a Home Health Registered Nurse in University Place, Washington. Licensed in Washington. Registered with an NPI since 2023.

Licensed in
WA
In the registry since
2023

Practice location Address checks out

2901 Bridgeport Way W
University Place, WA 98466-4614
Phone: (253) 534-7623
Fax: (253) 534-7610
Show map & directions

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

Specialties & licences

Home Health Registered Nurse (primary) Taxonomy 163WH0200X · Licence RN60434660 (WA)

Record details

NPI number1811762495
Entity typeIndividual (Type 1)
GenderFemale
Credentials RN60434660
Sole proprietorNo
NPI enumeratedNovember 24, 2023
Last updated in NPPESNovember 24, 2023
Certification dateNovember 23, 2023

Other providers in University Place