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Search › Washington › 101Y00000X

Antione Jackson

NPI 1043821754 · on the registry since 2020 · sole proprietor

Practice

Address
909 4th Ave
Seattle, WA 98104
Phone
(206) 382-5000
Organisation at this address
Health Home Program
The Young Mens Christian Association Of Greater Seattle
Inferred from a shared address, not stated in the registry.
Clinicians at this address
23

Registry record

Primary taxonomy
101Y00000X
101Y00000X
Sex
Male
Record last updated
2020-08-17

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Washington