Search › Washington › 103TC0700X
Stacey Jackson, PSYD
NPI 1588189310 · on the registry since 2017
Practice
- Address
- 701 Hospital Loop
Fairchild Afb, WA 99011 - Phone
- (509) 247-3852
- Organisation at this address
- 92d Medgrp-Fairchild
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 64
Additional practice sites
- 5130 E Clinton Way, Fresno, CA
- 4881 Sugar Maple Dr, Wright Patterson Afb, OH
- 4881 Sugar Maple Dr, Wright Patterson Afb, OH
- 11 Nealy Blvd, Hampton, VA
- 51st Medical Group, Unit 2060, Apo Ap 96278-2060, Apo, AP
Registry record
- Primary taxonomy
- 103TC0700X
103TC0700X
- Also registered as
- 390200000X
- Licence states on file
- VA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-08-15
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