Brandy Ila Marie Long, RN

Primary specialty

Emergency Registered NurseTaxonomy code 163WE0003X

License

43561 Issued in ID

Practice address

4312 Pacific Ave SE
Lacey, WA 98503-1117

Phone

(564) 669-5200

NPI assigned

Mar 15, 2025

Last updated

Mar 15, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Brandy Ila Marie Jurek Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1741996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741996800000",
    "number": "1336949718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4312 PACIFIC AVE SE",
            "city": "LACEY",
            "state": "WA",
            "postal_code": "985031117",
            "telephone_number": "208-598-0154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4312 PACIFIC AVE SE",
            "city": "LACEY",
            "state": "WA",
            "postal_code": "985031117",
            "telephone_number": "564-669-5200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONG",
        "first_name": "BRANDY",
        "middle_name": "ILA MARIE",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-03-15",
        "last_updated": "2025-03-15",
        "certification_date": "2025-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WE0003X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Emergency",
            "state": "ID",
            "license": "43561",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRANDY",
            "last_name": "JUREK",
            "middle_name": "ILA MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Shay Locken
• Alice Renee Loebsack, ATC, CSCS
• Leilani Logan, PHARMD
• Marcella Suzanne Logan, MSW, LICSW
• Marika Lolley, RN
• Geri Anne Long, CDP
• Cynthia Louise Longnecker, L.M.P.
• Maria P Lopes, L.M.P
• Martha Araceli Lopez
• Jodi Loraine Lorenz

• Emergency Registered Nurse in Lacey, WA
• Providers in Lacey, WA by specialty
• Emergency Registered Nurse in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.