Search › Washington › 101YP2500X
Lisa Jackson
NPI 1497436349 · on the registry since 2023 · sole proprietor
Practice
- Address
- 33455 6th Ave S # 2c
Federal Way, WA 98003 - Phone
- (253) 210-4230
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 101YP2500X
101YP2500X
- Also registered as
- 101YM0800X
- Licence states on file
- WA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-03-21
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