Individual provider · Type 1 NPI
John Thomas Jackson, LMP
Specialist · Des Moines, WA
NPI number
1093867723
Active
Practice location
22007 Marine View Dr S, Suite 104
Des Moines, WA 98198-6259
Fax (206) 592-1428
Mailing address
PO Box 98530
Des Moines, WA 98198-0530
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | MA00005314 (WA) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Another provider at this address
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About NPI 1093867723
John Thomas Jackson, LMP's National Provider Identifier is 1093867723, issued on Jan 16, 2007. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Des Moines, WA. The record was last updated on Jul 8, 2007.