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Individual

MELINDA LEA JACKSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN, FNP-BC

Contact information

Practice address
MADIGAN ARMY MEDICAL CTR, 9040 JACKSON AVE, TACOMA, WA 98431-0001
(253) 968-0770
(253) 968-2826
Mailing address
MADIGAN ARMY MEDICAL CTR, BLDG 9040, JACKSON DRIVE, ATTN: EFMP, DPT OF PEDIATRICS, TACOMA, WA 98431-0001
(253) 968-0229
(253) 968-3358

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
098312
NC
163W00000X
Registered Nurse
RN00165129
WA
363LF0000X
Family Nurse Practitioner
Primary
AP30007414
WA

Other

Enumeration date
06/16/2006
Last updated
02/24/2025
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