Individual provider · Type 1 NPI

Emma Olson Jackson, PNP

Pediatric Nurse Practitioner · Seattle, WA

NPI number 1306114442 Active

Practice location

4800 Sand Point Way NE
Seattle, WA 98105-3901

Mailing address

PO Box 5371
Seattle, WA 98145-5005

Other practice locations

  • 707 SW Gaines St, Cdrc-P, Portland, OR 97239-2901 · (503) 494-2192

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner 363LP0200X201403443NP (OR)
Pediatric Nurse Practitioner 363LP0200X21356 (CA)
Pediatric Nurse Practitioner Primary 363LP0200XAP60822575 (WA)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1306114442

Emma Olson Jackson, PNP's National Provider Identifier is 1306114442, issued on Dec 4, 2011. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Seattle, WA. The record was last updated on Sep 10, 2018.