Provider Demographics
NPI:1871131466
Name:MUSNGI, JAMAICA S (HCA)
Entity type:Individual
Prefix:
First Name:JAMAICA
Middle Name:S
Last Name:MUSNGI
Suffix:
Gender:F
Credentials:HCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8503 NORTH WAY SW
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:WA
Mailing Address - Zip Code:98498-4548
Mailing Address - Country:US
Mailing Address - Phone:253-507-4228
Mailing Address - Fax:253-507-4228
Practice Address - Street 1:8503 NORTH WAY SW
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:WA
Practice Address - Zip Code:98498-4548
Practice Address - Country:US
Practice Address - Phone:253-507-4228
Practice Address - Fax:253-507-4228
Is Sole Proprietor?:Yes
Enumeration Date:2019-12-15
Last Update Date:2019-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA754289376G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes376G00000XNursing Service Related ProvidersNursing Home AdministratorGroup - Single Specialty