Individual
LAURA ELIZABETH JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
601 BROADWAY FL 7, SEATTLE, WA 98122-5330
(206) 386-2600
(206) 694-6674
Mailing address
601 BROADWAY FL 7, SEATTLE, WA 98122-5330
(206) 386-2600
(206) 622-1644
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA61221008
WA
Other
Enumeration date
05/10/2020
Last updated
07/26/2024
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