Angela Jackson, PA-C Valid NPI
Individual provider · Physician Assistant · Port Townsend, WA
- NPI
- 1073923975
- Type
- Individual (Type 1)
- Primary specialty
- Physician Assistant
- Specialty group
- Physician Assistants & Advanced Practice Nursing Providers
- Taxonomy code
- 363A00000X
- License number
- PA60638952 (WA)
- Sex
- Female
- Sole proprietor
- Yes
- Enumerated
- 2014-04-30
- Last updated
- 2021-06-07
Practice location
915 Sheridan St.
Port Townsend, WA 98368
(360) 379-8031