Jackson, J Kelsey
Jackson, J Kelsey is an individual health care provider with primary practice located at 520 N 4Th Ave Pulmonary Svcs, Pasco WA 99301-5257. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Jackson, J Kelsey can be contacted via phone (509) 544-6140.Contact Information
Primary practice address
520 N 4Th Ave Pulmonary Svcs
Pasco WA 99301-5257
Phone: (509) 544-6140
Fax: (509) 544-6163
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | PA10003084 | Washington |
Profile Details
| NPI number | 1861485773 |
|---|---|
| LBN Legal business name | Jackson, J Kelsey |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 25th, 2005 |
| Last updated | Nov 14th, 2007 - about 19 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1861485773 | NPPES |
| Washington | MEDICAID | 8900888 |
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