Search › Washington › 101YA0400X

Erica Jackson, SUDP/T

NPI 1558212605 · on the registry since 2026

Practice

Address
1505 Kla-Ook Wa Drive
Taholah, WA 98587
Phone
(360) 276-8211

Registry record

Primary taxonomy
101YA0400X
101YA0400X
Licence states on file
WA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2026-02-05

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