person
Ginger Nichole Thibault
Pediatric Nurse Practitioner in Tacoma, Washington
NPI 1679964019

Ginger Nichole Thibault is a Pediatric Nurse Practitioner based in Dupont, WA and is specialized in Pediatrics. Ginger Nichole Thibault practices in Tacoma, WA. The NPI Number for Ginger Nichole Thibault is 1679964019 and holds a License No. R0077265 (Washington).

The current practice location address for Ginger Nichole Thibault is 9040 Jackson Ave, Tacoma, WA and can be reached out via phone at 253-968-2464 and via fax at 253-968-0384. You can also correspond with Ginger Nichole Thibault through the mailing address at 1985 GARRY OAKS AVE UNIT B, DUPONT, WA - 98327-6703 (mailing address contact number: 405-905-0212).

Location: 9040 Jackson Ave, Tacoma, WA, 98327-6703
person
Provider Profile Details
NPI Number
1679964019
Provider Name
Ginger Nichole Thibault
Credential
Provider Entity Type
Individual
Gender
Female
Address
9040 Jackson Ave, Tacoma, WA, 98327-6703
Phone Number
253-968-2464
Fax Number
253-968-0384
Provider Enumeration Date
02/06/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
9040 Jackson Ave
City
State
Zip
98431-4426
Phone Number
253-968-2464
Fax Number
253-968-0384
person
Provider Business Mailing Address Details
Address
9040 Jackson Ave
City
State
Zip
98431-4426
Phone Number
253-968-2464
Fax Number
253-968-0384
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Pediatrics
Taxonomy
License No.
AP61333001 (Washington)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
License No.
R0077265 (Oklahoma)
Definition
Definition to come...
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