TOMMY LAMAR JACKSON


Address: 1802 Yakima Ave Ste 204, Tacoma, WA 98405-5304
Phone: 2533828540

TOMMY LAMAR JACKSON (NPI# 1053324186) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1053324186
Entity Type Individual
Full Name TOMMY LAMAR JACKSON
Credential PA-C
Practice Address 1802 Yakima Ave Ste 204
Tacoma
WA 98405-5304
Mailing Address 1802 Yakima Ave
Ste 204
Tacoma
WA 98405-5304
Practice Telephone 2533828540
Practice Fax Number 2533828545
Mailing Telephone 2533828540
Mailing Fax Number 2533828545
Enumeration Date 2006-08-13
Last Update Date 2020-08-27
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 363AS0400X Physician Assistant
Specialization: Surgical Technologist
004173 GA Physician Assistants & Advanced Practice Nursing Providers
Y 363AS0400X Physician Assistant
Specialization: Surgical Technologist
PA60988499 WA Physician Assistants & Advanced Practice Nursing Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
3650 Piper Street, Ste A, Anchorage, AK 99508 9073399455 9073399445

Other Providers TOMMY JACKSON

NPI Name Taxonomy Address Enumeration
1497297154 Tommy Jackson Specialist/Technologist, Other 1760 Termino Ave, 208, Long Beach, CA 90804-2105 2016-11-12

Office Location

Street Address 1802 YAKIMA AVE STE 204
City TACOMA
State WA
Zip Code 98405-5304

Providers in the same location

NPI Name Taxonomy Address Enumeration
1255788295 Jennifer Moore Physician Assistant 1802 Yakima Ave Ste 204, Tacoma, WA 98405 2016-05-19
1083919682 Elaine Catherine Kiser-rude Physician Assistant 1802 Yakima Ave Ste 204, Tacoma, WA 98405-5304 2011-01-13
1104050814 Hao Trong Vu Surgery 1802 Yakima Ave Ste 204, Tacoma, WA 98405-5304 2009-05-08
1770675837 Donna S Watson Nurse Practitioner 1802 Yakima Ave Ste 204, Tacoma, WA 98405-5304 2006-09-28

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1609486026 Joanna Christine Hope Physician Assistant 2502 S Union Avenue, Tacoma, WA 98405 2020-08-01
1467077891 Richard Jimenez Student in an Organized Health Care Education/Training Program 1202 M.l.k. Jr Way Suite #310, Tacoma, WA 98405 2020-06-11
1669008785 Mariana Sanchez Corona Behavior Technician 1901 S Union Ave Allenmore Building B, Tacoma, WA 98405 2020-03-20
1811534845 Jasmine Gregory Social Worker 311 Martin Luther King Jr. Way, Ms:315-c2-php, Tacoma, WA 98405 2019-12-10
1548807506 Holly Rebecca Brezynski Student in an Organized Health Care Education/Training Program Fresenius Kindney Care - Home Therapies Department, 1717 South J Street, Tacoma, WA 98405 2019-12-09
1972064392 Logan Brau Student in an Organized Health Care Education/Training Program 1202 M.l.k. Jr Way, Tacoma, WA 98405 2019-03-28
1629532536 Preferred Orthotic and Prosthetic Services Inc Prosthetic/Orthotic Supplier 1708 Yakima Ave Ste 60, Tacoma, WA 98405 2019-01-24
1669945911 Heidi Weakley Counselor 1001 S Yakima Ave, Suite 5, Tacoma, WA 98405 2019-01-09
1972074011 Taviance Benet Laster Behavior Technician 1416 S 9th St, Tacoma, WA 98405 2018-12-16
1336618040 Bailey Bangerter Physician Assistant 1901 South Union, A-233, Tacoma, WA 98405 2018-11-26
Find all providers in zip 98405

Taxonomy Information

Taxonomy Code 363AS0400X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Surgical Technologist

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1124147087 Aniko A Szentes Physician Assistant 3708 55th St Ne, Tacoma, WA 98422-4571 2007-03-29
1396763140 Jerry John Papson Physician Assistant 1812 South J St, Suite 210, Tacoma, WA 98405-4964 2006-07-18
1215996798 Jill Tricia Eggersknight Physician Assistant Orthopedic Surgery Service, Attn: Mchj-sop, Tacoma, WA 98431-0001 2006-03-22
1588127062 Sung Ho Kim Physician Assistant 1724 W Union Ave Ste 100, Tacoma, WA 98405-2099 2019-04-10
1215407770 Monica Huang Physician Assistant 1724 W Union Ave Ste 100, Tacoma, WA 98405-2099 2018-11-27
1154803237 Limary Gonzalez Physician Assistant 1717 S J St, Tacoma, WA 98405-4933 2018-09-05
1942725072 Breanna Lynn Polk Physician Assistant 1724 W Union Ave, Tacoma, WA 98405-2099 2017-08-09
1104354190 Samantha Sokol Physician Assistant 1717 S J St, Tacoma, WA 98405-4933 2017-06-02
1548662752 Tomasz Gondek Physician Assistant 209 Martin Luther King Jr Way, Tacoma, WA 98405-4265 2014-09-18
1740689330 Jonathon Mcjilton Sr. Physician Assistant 1717 S J St, Tacoma, WA 98405-4933 2014-08-19
Find all providers in TACOMA

Competitor

Search similar providers

City TACOMA
Zip Code 98405

Improve Information

Please comment or provide details below to improve the information on TOMMY LAMAR JACKSON.

Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

Trending Searches