NPI 1184164493

John Jackson

Practitioner Paramedic Newport, WA

Practice location

Address: 137 S Newport Ave, Newport, WA 99156-1942
Phone: (509) 447-1200
Fax: (509) 447-1201
Mailing address: PO Box 1942, Newport, WA 99156-1942

Registered specialties

Paramedic Primary

Emergency Medical Service Providers Taxonomy 146L00000X Licence PARA.ED.00104712 (WA)

Other Emergency Medical Technician, Paramedic providers in Washington →

Registry record

NPI: 1184164493
Entity type: Individual
Sex (as registered): Male
NPI issued: 6 Mar 2017
Record last updated: 6 Mar 2017

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.