Individual
ALAN STANLEY JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
10811 W 6TH AVE, AIRWAY HEIGHTS, WA 99001-5345
(509) 481-4990
Mailing address
1015 S PEPPER TREE LN, SPOKANE, WA 99224-2063
(808) 333-0245
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
RN00124636
WA
Other
Enumeration date
01/13/2025
Last updated
01/13/2025
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