Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JOHN JACKSON
ActiveJOHN JACKSON is a Emergency Medical Technician, Intermediate healthcare provider located in NEWPORT, Washington. NPI 1184164493 is currently active in the NPPES registry. Verify at CMS.
Emergency Medical Technician, Intermediate · NEWPORT, WA
Registration Details
- NPI Number
- 1184164493
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 6, 2017 (9.4697331222282 yrs)
- Last Updated
- Mar 6, 2017
- License
-
PARA.ED.00104712 (WA)
Practice Information
- Address
-
137 S NEWPORT AVENEWPORT, WA, 991561942Browse WA providers · Browse ZIP 99156
- Phone
- 5094471200
- Fax
- 5094471201
- Primary Specialty
-
Emergency Medical Technician, Intermediate
146L00000X
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.