Individual
KATHLEEN MARIE JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1313 N 13TH AVE, WALLA WALLA, WA 99362-8817
(509) 540-9215
Mailing address
1009 E ALDER ST, WALLA WALLA, WA 99362-2451
(509) 540-9215
(509) 540-9215
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
RN00119180
WA
Other
Enumeration date
02/20/2026
Last updated
02/20/2026
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