Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MISS JUDITH LYNN JACKSON
Active Sole ProprietorMISS JUDITH LYNN JACKSON is a Podiatric Surgery healthcare provider located in SPOKANE VALLEY, Washington. NPI 1114575016 is currently active in the NPPES registry. Verify at CMS.
Podiatric Surgery · SPOKANE VALLEY, WA
Registration Details
- NPI Number
- 1114575016
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 4, 2019 (6.9693260706498 yrs)
- Last Updated
- Sep 4, 2019
- Sole Proprietor
- Yes
Practice Information
- Address
-
2820 N CHERRY ST APT C105SPOKANE VALLEY, WA, 992165009Browse WA providers · Browse ZIP 99216
- Phone
- 5094132792
- Primary Specialty
-
Podiatric Surgery
3747A0650X
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.