Individual
KATHRYN JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP CNM
Contact information
Practice address
450 ALASKAN WAY S STE 200, # 9452, SEATTLE, WA 98104
(888) 731-8994
Mailing address
6002 WESTGATE BLVD STE 120, TACOMA, WA 98406-2580
(253) 228-7623
(306) 400-2735
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
025801 RN00121312
WA
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
AP30003731
WA
367A00000X
Advanced Practice Midwife
Primary
AP30003731
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0270551
L&I
WA
05
—
9620246
—
WA
01
—
G8895828
MEDICARE
WA
01
—
JA7565
REGENCE
WA
Enumeration date
12/30/2005
Last updated
02/21/2026
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