Individual provider · Type 1 NPI
Kathleen Marie Jackson, RN
Addiction (Substance Use Disorder) Registered Nurse · Walla Walla, WA
NPI number
1962355628
Active
Practice location
1313 N 13th Ave
Walla Walla, WA 99362-8817
Mailing address
1009 E Alder St
Walla Walla, WA 99362-2451
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Registered Nurse Primary | 163WA0400X | RN00119180 (WA) |
Addiction (Substance Use Disorder) Registered Nurse: Definition to come...
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About NPI 1962355628
Kathleen Marie Jackson, RN's National Provider Identifier is 1962355628, issued on Feb 20, 2026. The primary taxonomy on file is Addiction (Substance Use Disorder) Registered Nurse (163WA0400X), and the practice location is in Walla Walla, WA. The record was last updated on Feb 20, 2026.