MR. DONALD L JACKSON PA C
NPI 1073501177
Physician Assistant in Kettle Falls, WA

Active since October 12, 2005
840 S MEYERS ST, KETTLE FALLS, WA 99141(509) 738-6607(509) 738-4180 Get Directions Write a Review

NPPES record last updated: October 28, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Donald L Jackson Pa C NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. DONALD L JACKSON PA C (NPI 1073501177) is an individual physician assistant in Kettle Falls, Washington, licensed in Washington (PA10001811) and active in the NPI registry since October 2005.

NPPES Registry Identity

NPI1073501177
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMR. DONALD L JACKSONCredential: PA C
Location Address840 S MEYERS STKettle Falls, WA 99141
Mailing AddressPo Box 421Liberty Lake, WA 99019-0421 · (866) 747-2455 · Fax (509) 944-9644
Fax(509) 738-4180
Sole ProprietorNo
Enumeration DateOctober 12, 2005
Last NPPES UpdateOctober 28, 2014
NPI 1073501177 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in WA · PA10001811
Definition
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.
840 S MEYERS ST, Kettle Falls, WA 99141

Other Identifiers 5

Other8935341L & I Crime Victims
Medicaid8118986WA
Other127584L & I
Medicare UPINR11372
Medicare ID-Type UnspecifiedGAB36943WA

Accepted Insurance

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
840 S MEYERS ST
KETTLE FALLS, WA 99141
Family Medicine
840 S MEYERS ST
KETTLE FALLS, WA 99141
Family Medicine
840 S MEYERS ST
KETTLE FALLS, WA 99141
Clinic/Center (Rural Health)
840 S MEYERS ST
KETTLE FALLS, WA 99141
Physician Assistant
840 S MEYERS ST
KETTLE FALLS, WA 99141
Family Medicine
840 S MEYERS ST
KETTLE FALLS, WA 99141
Physician Assistant
840 S MEYERS ST
KETTLE FALLS, WA 99141

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Donald Jackson's NPI number?

The NPI number for Donald Jackson is 1073501177. It was assigned to this individual provider in the NPPES registry on October 12, 2005.

Where is Donald Jackson located?

Donald Jackson practices at 840 S Meyers St, Kettle Falls, WA 99141. The listed phone number is (509) 738-6607.

What is Donald Jackson's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

What insurance does Donald Jackson accept?

Health plans from Providence Health Plan list Donald Jackson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Donald Jackson was last updated on October 28, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.