Individual
SHAWNNA JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
923 AUBURN WAY N, AUBURN, WA 98002-4117
(253) 351-3900
Mailing address
955 POWELL AVE SW, RENTON, WA 98057-2908
(425) 277-1311
(425) 277-1566
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN60668702
WA
363L00000X
Nurse Practitioner
Primary
AP61369840
WA
Other
Enumeration date
10/20/2022
Last updated
01/03/2025
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