MISS JUDITH LYNN JACKSON
NPI 1114575016
Technician - Attendant Care Provider in Spokane Valley, WA

Active since September 04, 2019
2820 N CHERRY ST APT C105, SPOKANE VALLEY, WA 99216(509) 413-2792 Get Directions Write a Review

NPPES record last updated: September 4, 2019. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Individual
  • Female
  • Technician
  • Attendant Care Provider

About JUDITH JACKSON

This page provides the complete NPI Profile along with additional information for Judith Jackson, a provider established in Spokane Valley, Washington with a medical specialization in Technician, focusing in attendant care provider . The healthcare provider is registered in the NPI registry with number 1114575016 assigned on September 2019. The practitioner's primary taxonomy code is 3747A0650X. The provider is registered as an individual and her NPI record was last updated 7 years ago.

NPI
1114575016 Verify this NPI
Provider Name
MISS JUDITH LYNN JACKSON
Gender
Female
Entity Type
Individual
Location Address
2820 N CHERRY ST APT C105 SPOKANE VALLEY, WA 99216
Location Phone
(509) 413-2792
Mailing Address
2820 N CHERRY ST APT C105 SPOKANE VALLEY, WA 99216
Mailing Phone
(509) 413-2792
Is Sole Proprietor?
Yes
Enumeration Date
09-04-2019
Last Update Date
09-04-2019
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Technician Attendant Care Provider

Taxonomy Code
3747A0650X
Type
Nursing Service Related Providers
Taxonomy Description
An individual who provides hands-on care, of both a supportive and health related nature, specific to the needs of a medically stable, physically handicapped individual. Supportive services are those that substitute for the absence, loss, diminution, or impairment of a physical or cognitive function. This service may include skilled or nursing care to the extent permitted by state law.

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1114575016, enumerated as an "individual" on September 04, 2019.

The provider is located at 2820 N CHERRY ST APT C105 SPOKANE VALLEY, WA 99216 and the phone number is (509) 413-2792.

Technician with taxonomy code 3747A0650X and a focus in Attendant Care Provider.