Individual provider · Type 1 NPI
Heidi Ericka Jackson, RN
Community Health Registered Nurse · Vancouver, WA
NPI number
1699242826
Active
Practice location
15606 NE 12th Way
Vancouver, WA 98684
Other practice locations
- 15606 NE 12th Way, Vancouver, WA 98684 · (541) 401-3098
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Community Health Registered Nurse Primary | 163WC1500X | 201801572RN (OR) |
Community Health Registered Nurse: Definition to come...
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About NPI 1699242826
Heidi Ericka Jackson, RN's National Provider Identifier is 1699242826, issued on Oct 25, 2018. The primary taxonomy on file is Community Health Registered Nurse (163WC1500X), and the practice location is in Vancouver, WA. The record was last updated on Oct 25, 2018.