Provider Demographics
NPI:1073327797
Name:GATY, JIHYE SHIN (RN)
Entity type:Individual
Prefix:MS
First Name:JIHYE
Middle Name:SHIN
Last Name:GATY
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1321 GRIGGS ST
Mailing Address - Street 2:
Mailing Address - City:DUPONT
Mailing Address - State:WA
Mailing Address - Zip Code:98327-8775
Mailing Address - Country:US
Mailing Address - Phone:253-324-5008
Mailing Address - Fax:
Practice Address - Street 1:1321 GRIGGS ST
Practice Address - Street 2:
Practice Address - City:DUPONT
Practice Address - State:WA
Practice Address - Zip Code:98327-8775
Practice Address - Country:US
Practice Address - Phone:253-324-5008
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-04
Last Update Date:2025-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WARN61448817163W00000X, 163WE0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WE0003XNursing Service ProvidersRegistered NurseEmergency
No163W00000XNursing Service ProvidersRegistered Nurse