Individual
EMMA OLSON JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP
Contact information
Practice address
4800 SAND POINT WAY NE, SEATTLE, WA 98105-3901
(206) 987-0366
Mailing address
PO BOX 5371, SEATTLE, WA 98145-5005
(206) 987-0366
(206) 987-3839
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
201403443NP
OR
363LP0200X
Pediatric Nurse Practitioner
21356
CA
363LP0200X
Pediatric Nurse Practitioner
Primary
AP60822575
WA
Other
Enumeration date
12/04/2011
Last updated
09/10/2018
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