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WILLIAM CHANCE JACKSON
NPI 1164106415
Student in an Organized Health Care Education/Training Program in Everett, WA

Active since June 14, 2023
4526 FEDERAL AVE, EVERETT, WA 98203(425) 349-6200 Get Directions Write a Review

NPPES record last updated: June 14, 2023. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About William Chance Jackson NPPES

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

WILLIAM CHANCE JACKSON (NPI 1164106415) is an individual student in an organized health care education/training program in Everett, Washington and active in the NPI registry since June 2023.

NPPES Registry Identity

NPI1164106415
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameWILLIAM CHANCE JACKSON
Location Address4526 FEDERAL AVEEverett, WA 98203-2132
Mailing Address4526 Federal AveEverett, WA 98203-2132 · (425) 349-6200
Phone(425) 349-6200
Sole ProprietorNo
Enumeration DateJune 14, 2023
NPPES CertifiedJune 12, 2023
✔ NPI 1164106415 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
4526 FEDERAL AVE, Everett, WA 98203
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Other Providers at the Same Location NPPES 20

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

MELISSA ANNE TONER MHT3,AAC-R
Counselor
4526 FEDERAL AVE
EVERETT, WA 98203
Snohomish County (425) 349-6200
RAINE NOEL LOYLES
Counselor
4526 FEDERAL AVE
EVERETT, WA 98203
Snohomish County (425) 349-6200
JESSICA MARIE TOKARCHUK MA, AAC
Counselor (Mental Health)
4526 FEDERAL AVE
EVERETT, WA 98203
Snohomish County (425) 349-6200
SHANNON LEE SWEET
Behavior Technician
4526 FEDERAL AVE
EVERETT, WA 98203
Snohomish County (425) 349-6200
JESSICA RAMSEY
Behavior Technician
4526 FEDERAL AVE
EVERETT, WA 98203
Snohomish County (425) 349-6200
MELANIE FAYE STAVIG AA, LPN
Licensed Practical Nurse
4526 FEDERAL AVE
EVERETT, WA 98203
Snohomish County (425) 349-6200
MISS AUDREY ROSLEYNE AKINYI OWUOR
Counselor
4526 FEDERAL AVE
EVERETT, WA 98203
Snohomish County (425) 349-6200
JUETONG ZHU
Counselor
4526 FEDERAL AVE
EVERETT, WA 98203
Snohomish County (425) 349-6200

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 William Jackson's NPI number?

The NPI number for William Jackson is 1164106415. It was assigned to this individual provider in the NPPES registry on June 14, 2023.

Where is William Jackson located?

William Jackson practices at 4526 Federal Ave, Everett, WA 98203. The listed phone number is (425) 349-6200.

What is William Jackson's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for William Jackson was last updated on June 14, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.