Jackson, Angela

Jackson, Angela is an sole proprietor health care provider with primary practice located at 915 Sheridan St. , Port Townsend WA 98368. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Jackson, Angela can be contacted via phone (360) 379-8031.

Contact Information

Primary practice address
915 Sheridan St. Port Townsend WA 98368
Fax: (360) 379-4383
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA60638952 Washington

Profile Details

NPI number 1073923975
LBN Legal business name Jackson, Angela
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 30th, 2014
Last updated Jun 7th, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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