Provider Demographics
NPI:1447976303
Name:RUDLOFF, JAYME MARIE (DNP, FNP-C, FNP-BC)
Entity type:Individual
Prefix:DR
First Name:JAYME
Middle Name:MARIE
Last Name:RUDLOFF
Suffix:
Gender:F
Credentials:DNP, FNP-C, FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3610 ENSIGN RD NE
Mailing Address - Street 2:
Mailing Address - City:OLYMPIA
Mailing Address - State:WA
Mailing Address - Zip Code:98506-5025
Mailing Address - Country:US
Mailing Address - Phone:360-493-5252
Mailing Address - Fax:360-493-5257
Practice Address - Street 1:3610 ENSIGN RD NE
Practice Address - Street 2:
Practice Address - City:OLYMPIA
Practice Address - State:WA
Practice Address - Zip Code:98506-5025
Practice Address - Country:US
Practice Address - Phone:360-493-5252
Practice Address - Fax:360-493-5257
Is Sole Proprietor?:No
Enumeration Date:2022-10-12
Last Update Date:2023-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAP61363915363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner