| 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 |