MR. JACKSON WATSON NPI 1124696653

NPI Information

MR. Jackson Watson is a medical physician assistant in Lynnwood, WA with 3 years of experience. MR. Jackson Watson NPI is 1124696653. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: MERCER UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:2021

The provider's business location address is:

19020 33RD AVE W STE 210
LYNNWOOD, WA
ZIP 98036-748
Phone: (425) 563-1500
Fax: (425) 563-1374

The NPI 1124696653 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/11/2021 and was last updated on 11/21/2023.

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:

Other Identifiers

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

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