Search › Washington › 363L00000X
Michelle Jackson, ARNP
NPI 1215558937 · on the registry since 2020 · sole proprietor
Practice
- Address
- 9550 195th Ave E
Bonney Lake, WA 98391 - Phone
- (253) 447-3400
- Clinicians at this address
- 4
Additional practice sites
- 400 S 43rd St, Renton, WA
- 2505 S 38th St Ste 109, Tacoma, WA
- 6420 Tacoma Mall Blvd, Tacoma, WA
Registry record
- Primary taxonomy
- 363L00000X
363L00000X
- Licence states on file
- WA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-04-11
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