| Cascade Nurse Practitioners | |
|
2201 S 19th St Tacoma WA 98405-2962 | |
| (253) 433-0910 | |
| (253) 242-1958 |
| Full Name | Cascade Nurse Practitioners |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 2201 S 19th St, Tacoma, Washington |
| Authorized Official Name and Position | Locky Kamau (OWNER OF ENTITY) |
| Authorized Official Contact | 2534330910 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cascade Nurse Practitioners 5409 100th St Sw Unit 39800 Lakewood WA 98496-0970 Ph: (253) 433-0910 | Cascade Nurse Practitioners 2201 S 19th St Tacoma WA 98405-2962 Ph: (253) 433-0910 |
| NPI Number | 1922635887 |
|---|---|
| Provider Enumeration Date | 03/23/2020 |
| Last Update Date | 08/25/2025 |
| Certification Date | 08/25/2025 |
| Medicare PECOS PAC ID | 8820410848 |
|---|---|
| Medicare Enrollment ID | O20200622000709 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922635887 | NPI | - | NPPES |
| Provider Name | Arlene Maria Jackson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982875035 PECOS PAC ID: 8921291121 Enrollment ID: I20101020000815 |
| Provider Name | Locky N Kamau |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881022689 PECOS PAC ID: 3375770126 Enrollment ID: I20131226000717 |
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