Individual provider · Type 1 NPI

Eric Daniel Jackson, MD

Student in an Organized Health Care Education/Training Program · Seattle, WA

NPI number 1417701822 Active

Practice location

325 9th Ave # Wa
Seattle, WA 98104-2420

Call (206) 744-3000 Map

Mailing address

1616 N Central Ave Apt 2241
Phoenix, AZ 85004-1664

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1417701822

Eric Daniel Jackson, MD's National Provider Identifier is 1417701822, issued on Apr 12, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Seattle, WA. The record was last updated on Apr 12, 2024.