Provider Demographics
NPI:1255216503
Name:NEBICARE PLLC
Entity type:Organization
Organization Name:NEBICARE PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ARNP
Authorized Official - Prefix:MS
Authorized Official - First Name:HELINA
Authorized Official - Middle Name:
Authorized Official - Last Name:JIMMA
Authorized Official - Suffix:
Authorized Official - Credentials:ARNP
Authorized Official - Phone:425-516-1042
Mailing Address - Street 1:2302 S UNION AVE STE C30
Mailing Address - Street 2:
Mailing Address - City:TACOMA
Mailing Address - State:WA
Mailing Address - Zip Code:98405-1334
Mailing Address - Country:US
Mailing Address - Phone:425-738-7942
Mailing Address - Fax:425-572-6509
Practice Address - Street 1:2302 S UNION AVE STE C30
Practice Address - Street 2:
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98405-1334
Practice Address - Country:US
Practice Address - Phone:425-738-7942
Practice Address - Fax:425-572-6509
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-06
Last Update Date:2025-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207QA0505XAllopathic & Osteopathic PhysiciansFamily MedicineAdult MedicineGroup - Multi-Specialty
No363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontologyGroup - Multi-Specialty