MR. MICHAEL BEN JACKSON NPI 1720199839

NPI Information

NPI: 1720199839
Provider Name: MR. MICHAEL BEN JACKSON
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

Address:
925 ADELE AVE
BREMERTON, WA
ZIP 98312
Phone: (360) 782-0129
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MR. Michael Ben Jackson is a psychiatric/mental health nurse practitioner in Bremerton, WA. MR. Michael Ben Jackson NPI is 1720199839. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

925 ADELE AVE
BREMERTON, WA
ZIP 98312-521
Phone: (360) 782-0129
Fax: (360) 377-8029

The enumeration date for this NPI number is 8/31/2006 and was last updated on 7/8/2007.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	AP30003880	WASHINGTON	Yes

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: 5/5/2024

NPI Synchronization or Removal

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