Individual provider · Type 1 NPI

Stacy Latrice Jackson

Specialist · Seattle, WA

NPI number 1982898227 Active

Practice location

6817 Greenwood Ave. N.
Seattle, WA 98103-8801

Call (725) 351-0871 Map

Mailing address

6817 Greenwood Ave N
Seattle, WA 98103-8801

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XMA00024477 (WA)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1982898227

Stacy Latrice Jackson's National Provider Identifier is 1982898227, issued on Aug 29, 2007. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Seattle, WA. The record was last updated on Dec 18, 2008.