Alan Stanley Jackson, | |
10811 W 6th Ave, Airway Heights, WA 99001-5345 | |
(509) 481-4990 | |
Not Available |
Full Name | Alan Stanley Jackson |
---|---|
Gender | Male |
Speciality | Registered Nurse - Addiction (substance Use Disorder) |
Location | 10811 W 6th Ave, Airway Heights, Washington |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1902616881 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163WA0400X | Registered Nurse - Addiction (substance Use Disorder) | RN00124636 (Washington) | Primary |
Mailing Address | Practice Location Address |
---|---|
Alan Stanley Jackson, 1015 S Pepper Tree Ln, Spokane, WA 99224-2063 Ph: (808) 333-0245 | Alan Stanley Jackson, 10811 W 6th Ave, Airway Heights, WA 99001-5345 Ph: (509) 481-4990 |
Jill Annette Rude, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 10811 W 6th Ave # 8844, Airway Heights, WA 99001 Phone: 509-481-4990 | |
Andrea Zinnecker-mackin, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 10811 W 6th Ave, Airway Heights, WA 99001 Phone: 509-481-4990 Fax: 206-703-2564 |