MRS. ANGELA JACKSON (NPI# 1073923975) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073923975 |
| Entity Type | Individual |
| Full Name | MRS. ANGELA JACKSON |
| Credential | PA-C |
| Practice Address |
915 Sheridan St. Port Townsend WA 98368 |
| Mailing Address |
834 Sheridan St Port Townsend WA 98368 |
| Practice Telephone | 3603798031 |
| Mailing Telephone | 3603852200 |
| Enumeration Date | 2014-04-30 |
| Last Update Date | 2020-09-22 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA60638952 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831796143 | Angela M Jackson | Massage Therapist | 8795 Ralston Rd Ste 202d, Arvada, CO 80002-2357 | 2020-10-08 |
| 1104431790 | Angela P Jackson | Technician | 5528 Meadow Passage Dr, Canal Winchester, OH 43110-8397 | 2020-09-10 |
| 1316446453 | Angela Evonne Jackson | Massage Therapist | 12336 Shady Spring Way, Orlando, FL 32828-9172 | 2018-02-05 |
| 1972029858 | Angela Jackson | Adult Companion | 2469 E Dublin Granville Rd #298155, Columbus, OH 43229 | 2017-08-22 |
| 1194267476 | Angela Decarla Jackson | Counselor | 900 S Clark St Apt 2213, Chicago, IL 60605-3708 | 2016-11-17 |
| 1013468248 | Angela Jackson | Specialist | 110 E St, Pittsfield, ME 04967-5106 | 2016-10-24 |
| 1609231000 | Angela Jackson | Specialist | 1110 N 47th St, Kansas City, KS 66102-1702 | 2015-12-29 |
| 1215329032 | Angela Yvette Jackson | Psychologist | 185 N Pearl Lake Cswy, #106, Altamonte Springs, FL 32714-2956 | 2015-03-03 |
| 1043636343 | Angela Jackson | Licensed Practical Nurse | 13 Slate Creek Dr Apt 5, Cheektowaga, NY 14227-2947 | 2014-03-11 |
| 1659619328 | Angela Wendy Jackson | Registered Nurse | 8299 Cambridge St, 1602, Houston, TX 77054-3170 | 2013-01-30 |
| Street Address |
915 SHERIDAN ST. |
| City | PORT TOWNSEND |
| State | WA |
| Zip Code | 98368 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285665760 | Carol L Venable | Emergency Medicine | 915 Sheridan St., Port Townsend, WA 98368 | 2006-07-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730727827 | Ace It Employment & Transition Services LLC | Community/Behavioral Health | 1233 Lawrence Street, Port Townsend, WA 98368 | 2019-12-19 |
| 1942862792 | Peninsula Midwives | Midwife | 203 Pocket Lane, Port Townsend, WA 98368 | 2019-07-02 |
| 1700349461 | Kelle Gayelena Ronnfeldt | Nurse Practitioner | 844 West Park Ave, Port Townsend, WA 98368 | 2019-04-10 |
| 1841769031 | Richard Sankey Hansen | Counselor | 448 Hastings Ave, Port Townsend, WA 98368 | 2018-11-16 |
| 1255800595 | Alan P Brown | Counselor | 821 Mcpherson St, Port Townsend, WA 98368 | 2018-11-15 |
| 1699257873 | Megan E Smith | Counselor | 260 Kala Point Dr, Ste 99, Port Townsend, WA 98368 | 2018-09-04 |
| 1093297434 | Jacqueline Levin | Clinical Nurse Specialist | 234 Pond Road, Port Townsend, WA 98368 | 2018-09-02 |
| 1306335682 | Matthew D Hust | Physical Therapy Assistant | 751 Kearney Street, Port Townsend, WA 98368 | 2018-05-02 |
| 1306368238 | Michael Ozar | Psychologist | 1806 Walnut Street, Port Townsend, WA 98368 | 2017-07-12 |
| 1336674076 | Yuko Umeda | Registered Nurse | 615 Sheridan Street, Port Townsend, WA 98368 | 2017-05-01 |
| Find all providers in zip 98368 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497141055 | Shawnisa Francis | Physician Assistant | 1010 Sheridan St Ste 101, Port Townsend, WA 98368-2901 | 2015-04-10 |
| 1447202585 | James Clayton Blair IIi | Physician Assistant | 1136 Water St Ste 111, Port Townsend, WA 98368-6728 | 2006-05-17 |
| 1497707889 | Sara Katz | Physician Assistant | 915 Sheridan St, Suite B103, Port Townsend, WA 98368-2931 | 2006-05-16 |
| 1629054333 | Marilyn Suzanne Eaton | Physician Assistant | 834 Sheridan St, Port Townsend, WA 98368-2443 | 2005-12-15 |
| 1669930574 | Randall Troy Beck | Physician Assistant | 834 Sheridan St, Port Townsend, WA 98368-2443 | 2019-03-10 |
| 1619484250 | Jenna Hoogestraat | Physician Assistant | 915 Sheridan St, Port Townsend, WA 98368-2931 | 2018-01-04 |
| 1356455745 | Dean Short | Physician Assistant | 834 Sheridan St, Port Townsend, WA 98368-2443 | 2006-08-19 |
| 1558315135 | Kevin Thomas Hines | Physician Assistant | 834 Sheridan St, Port Townsend, WA 98368-2443 | 2006-05-19 |
| 1518910991 | Robert E Bammert | Physician Assistant | 1010 Sheridan St, Suite 101, Port Townsend, WA 98368-2901 | 2006-05-18 |
| 1780636860 | Richard Corey Asbell | Physician Assistant | 834 Sheridan St, Port Townsend, WA 98368-2443 | 2006-05-17 |
| Find all providers in PORT TOWNSEND | ||||
| City | PORT TOWNSEND |
| Zip Code | 98368 |
Please comment or provide details below to improve the information on MRS. ANGELA JACKSON.
| 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.