NPI
Jacqueline Jeanne Wielick
NPI 1013497791
Read from the NPPES registry on October 23, 2026.
Facts
- Status
- Active
- Credential
- MS
- Type
- Individual
- Enumeration date
- 2018-08-21
- Last updated
- 2023-05-15
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Specialties
Licenses
- License CA
- IMF100541
- License CA
- 118766
Location
- Practice location
- 23207 Columbia Pointe Ln
- City
- Orondo WA
- Postal code
- 98843-9826
- Phone
- (619) 630-5481
Medicare
- PECOS
- No PECOS enrollment row matched this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.
Nearby
Other NPIs in Orondo, WA. 7 records in the public file.
Public data from NPPES and CMS. Not a credentialing determination.
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