Jillian C S Longway, CPNP is a pediatrics nurse practitioner in Puyallup, WA. Jillian C S Longway, CPNP NPI is 1669875993. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
The provider's business location address is:
11102 SUNRISE BLVD E STE 103
PUYALLUP, WA
ZIP 98374
Phone: (253) 848-8797
The NPI 1669875993 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 10/1/2014 and was last updated on 7/15/2018.