NPI 1013505064
Megan Jackson
Practice location
- Address
- 1502 Liatris Ln, North Pole, AK 99705-5082
- Phone
- (907) 385-7332
- Mailing address
- 365 Kodiak St Stop 2000, Eielson Afb, AK 99702-5379
Registered specialties
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
Registry record
- NPI
- 1013505064
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 5 Jan 2021
- Record last updated
- 5 Jan 2021
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.