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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KATHLEEN MARIE JACKSON, RN

Active

KATHLEEN MARIE JACKSON, RN is a Nurse Anesthetist, Certified healthcare provider located in WALLA WALLA, Washington. NPI 1962355628 is currently active in the NPPES registry. Verify at CMS.

Nurse Anesthetist, Certified · WALLA WALLA, WA

Registration Details

NPI Number
1962355628
Provider Type
Individual
Gender
Female
NPI Issued
Feb 20, 2026 (0.29350790108235 yrs)
Last Updated
Feb 20, 2026
License
RN00119180 (WA)

Practice Information

Address
1313 N 13TH AVE
WALLA WALLA, WA, 993628817
Browse WA providers · Browse ZIP 99362
Phone
5095409215
Primary Specialty
Nurse Anesthetist, Certified
163WA0400X
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.