Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ALAN STANLEY JACKSON
Active Sole ProprietorALAN STANLEY JACKSON is a Nurse Anesthetist, Certified healthcare provider located in AIRWAY HEIGHTS, Washington. NPI 1902616881 is currently active in the NPPES registry. Verify at CMS.
Nurse Anesthetist, Certified · AIRWAY HEIGHTS, WA
Registration Details
- NPI Number
- 1902616881
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 13, 2025 (1.5882297292012 yrs)
- Last Updated
- Jan 13, 2025
- License
-
RN00124636 (WA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
10811 W 6TH AVEAIRWAY HEIGHTS, WA, 990015345Browse WA providers · Browse ZIP 99001
- Phone
- 5094814990
- Primary Specialty
-
Nurse Anesthetist, Certified
163WA0400X
Other Nurse Anesthetist, Certified Providers in AIRWAY HEIGHTS, WA
| Name | Credential | NPI |
|---|---|---|
| ANDREA ZINNECKER-MACKIN | RN | 1790534469 |
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.