Jackson, Angela
Jackson, Angela is an sole proprietor health care provider with primary practice located at 915 Sheridan St. , Port Townsend WA 98368. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Jackson, Angela can be contacted via phone (360) 379-8031.Contact Information
Primary practice address
915 Sheridan St.
Port Townsend WA 98368
Phone: (360) 379-8031
Fax: (360) 379-4383
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA60638952 | Washington |
Profile Details
| NPI number | 1073923975 |
|---|---|
| LBN Legal business name | Jackson, Angela |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 30th, 2014 |
| Last updated | Jun 7th, 2021 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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