Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. DONALD L JACKSON, PA C
ActiveMR. DONALD L JACKSON, PA C is a Physician Assistant healthcare provider located in KETTLE FALLS, Washington. NPI 1073501177 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · KETTLE FALLS, WA
Registration Details
- NPI Number
- 1073501177
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 12, 2005 (20.817057693902 yrs)
- Last Updated
- Oct 28, 2014
- License
-
PA10001811 (WA)
Practice Information
- Address
-
840 S MEYERS STKETTLE FALLS, WA, 99141Browse WA providers · Browse ZIP 99141
- Phone
- 5097386607
- Fax
- 5097384180
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in KETTLE FALLS, WA
| Name | Credential | NPI |
|---|---|---|
| KERRY A MICHAELIS | — | 1932285715 |
| STEVEN TINGEY | — | 1558748285 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.