Individual
JACKIE L. FOSTER
Active
Individual
JACKIE L. FOSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA.PA.61618587
WA
363AS0400X
Surgical Physician Assistant
Primary
PA61618587
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2322947
—
WA
Enumeration date
11/26/2024
Last updated
05/29/2025
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