Individual provider · Type 1 NPI
J Kelsey Jackson, PA -C
Medical Physician Assistant · Pasco, WA
NPI number
1861485773
Active
Practice location
520 N 4th Ave, Pulmonary Svcs
Pasco, WA 99301-5257
Fax (509) 544-6163
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | PA10003084 (WA) |
Medical Physician Assistant: Definition to come...
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About NPI 1861485773
J Kelsey Jackson, PA -C's National Provider Identifier is 1861485773, issued on Aug 25, 2005. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Pasco, WA. The record was last updated on Nov 14, 2007.