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JO A JACKSON MD NPI 1285750190


NPI Information

NPI: 1285750190
Provider Name: JO A JACKSON, MD
Classification: Family Medicine - 207Q00000X
Entity Type: Individual
Address:
4245 ROOSEVELT WAY NE
SEATTLE, WA
ZIP 98105
Phone: (206) 598-4055
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Jo A Jackson, MD is a family medicine in Seattle, WA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. Jo A Jackson, MD NPI is 1285750190. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4245 ROOSEVELT WAY NE
SEATTLE, WA
ZIP 98105-008
Phone: (206) 598-4055

The enumeration date for this NPI number is 3/22/2007 and was last updated on 1/12/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineMD00020270WASHINGTONYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1AB39420MEDICARE PINWASHINGTON
20231417OTHERWASHINGTONL&I
31285750190MEDICAIDWASHINGTON
4D33653MEDICARE UPIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.