Organization
GALLANT LION MEDICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBIN JACKSON FNP-C, DNP (OWNER)
(916) 296-7909
Entity
Organization
Contact information
Practice address
500 BIRCHWOOD AVE STE A, BELLINGHAM, WA 98225-1703
(916) 296-7909
Mailing address
500 BIRCHWOOD AVE STE A, BELLINGHAM, WA 98225-1703
(916) 296-7909
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
04/30/2020
Last updated
10/02/2023
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