Jackson, Melinda Lea

Jackson, Melinda Lea is an individual health care provider with primary practice located at Madigan Army Medical Ctr 9040 Jackson Ave, Tacoma WA 98431-0001. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Jackson, Melinda Lea can be contacted via phone (253) 968-0770.

Contact Information

Primary practice address
Madigan Army Medical Ctr 9040 Jackson Ave Tacoma WA 98431-0001
Phone: (253) 968-0770
Fax: (253) 968-2826
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 098312 North Carolina
Nursing Service Providers / Registered Nurse 163W00000X RN00165129 Washington
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X AP30007414 Washington

Profile Details

NPI number 1518901586
LBN Legal business name Jackson, Melinda Lea
Credentials APRN, FNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 16th, 2006
Last updated Jan 8th, 2020 - 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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