Individual provider · Type 1 NPI
Stephanie K. Jackson, LMP
Specialist · Wenatchee, WA
NPI number
1134461361
Active
Practice location
1513 Sleepy Hollow Rd Unit A
Wenatchee, WA 98801-9132
Mailing address
607 S Mission St
Wenatchee, WA 98801-3049
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | None listed |
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.
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- Heidi Ruth Fluegge, OTD, OTR/LSpecialist Wenatchee, WA NPI 1134225774
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About NPI 1134461361
Stephanie K. Jackson, LMP's National Provider Identifier is 1134461361, issued on Mar 26, 2013. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Wenatchee, WA. The record was last updated on Mar 26, 2013.