Individual
IVETTE SYRA JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-NP
Contact information
Practice address
315 MARTIN LUTHER KING JR WAY, TACOMA, WA 98405-4291
(253) 403-1000
Mailing address
24312 E MAIN DR, SAMMAMISH, WA 98074-3460
(323) 449-0452
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
AP61619732
WA
363LN0005X
Critical Care Neonatal Nurse Practitioner
111345
NE
363LN0005X
Critical Care Neonatal Nurse Practitioner
95007329
CA
363LN0005X
Critical Care Neonatal Nurse Practitioner
Primary
AP61619732
WA
363LN0005X
Critical Care Neonatal Nurse Practitioner
ARNP 9350748
FL
Other
Enumeration date
06/06/2012
Last updated
09/30/2025
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