Individual
CHELSEA W JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
5350 TALLMAN AVE NW STE 520, SEATTLE, WA 98107-5910
(206) 215-4250
(206) 215-4252
Mailing address
PO BOX 25608, SALT LAKE CITY, UT 84125-0608
(206) 320-4476
(206) 568-7043
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN60638001
WA
363L00000X
Nurse Practitioner
Primary
AP61445053
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2254646
—
WA
Enumeration date
08/31/2020
Last updated
09/27/2023
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