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DR. MOLLY BLACKLEY JACKSON MD NPI 1710090725


NPI Information

NPI: 1710090725
Provider Name: DR. MOLLY BLACKLEY JACKSON, MD
Classification: Hospitalist - 208M00000X
Entity Type: Individual
Organization: ASSOCIATION OF UNIVERSITY PHYSICIANS

PECOS Registration: Yes

Address:
1959 NE PACIFIC ST
SEATTLE, WA
ZIP 98195
Phone: (206) 598-4333
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DR. Molly Blackley Jackson, MD is a hospitalist in Seattle, WA with 20 years of experience. The provider is hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients. DR. Molly Blackley Jackson, MD NPI is 1710090725. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: UNIVERSITY OF NORTH CAROLINA AT CHAPEL HILL SCHOOL OF MEDICINE
Graduation Year:2004

The provider's business location address is:

1959 NE PACIFIC ST
SEATTLE, WA
ZIP 98195-340
Phone: (206) 598-4333

The NPI 1710090725 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 8/16/2006 and was last updated on 5/1/2017.


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
1207R00000XInternal MedicineMD00046883WASHINGTONNo
2208M00000XHospitalistMD00046883WASHINGTONYes

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
11710090725MEDICAIDWASHINGTON
28867195MEDICARE PINWASHINGTON
30231370OTHERWASHINGTONL&I

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: 11/14/2023

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.