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SUSAN JACKSON PA-C
NPI 1205914314
Physician Assistant in Seattle, WA

Active since November 02, 2006
1629 N 45TH ST, SEATTLE, WA 98103(206) 633-3350(206) 633-3113 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Susan Jackson Pa-c NPPES

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

SUSAN JACKSON PA-C (NPI 1205914314) is an individual physician assistant in Seattle, Washington, licensed in Washington (PA10004068) and active in the NPI registry since November 2006.

NPPES Registry Identity

NPI1205914314
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameSUSAN JACKSONCredential: PA-C
Location Address1629 N 45TH STSeattle, WA 98103-6701
Mailing Address905 Spruce St, Ste. 300Seattle, WA 98104-2474 · (206) 461-6935 · Fax (206) 461-8382
Phone(206) 633-3350
Fax(206) 633-3113
Sole ProprietorNo
Enumeration DateNovember 2, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1205914314 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 · PA10004068
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.
1629 N 45TH ST, Seattle, WA 98103
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Other Identifiers 3

Medicare UPINP34165
Medicare ID-Type Unspecified8329096WA
Medicare ID-Type UnspecifiedAB33911

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.

DEBRA CANNON LM
Midwife, Lay
1629 N 45TH ST
SEATTLE, WA 98103
King County (206) 633-3350
TIFFANY COURTNAGE MSW
Counselor (Mental Health)
1629 N 45TH ST
SEATTLE, WA 98103
King County (206) 633-3350
SUSAN WILLIS DDS
Dentist (General Practice)
1629 N 45TH ST
SEATTLE, WA 98103
King County (206) 633-3350
JANE POISSON LICSW
Social Worker
1629 N 45TH ST
SEATTLE, WA 98103
King County (206) 633-3350
CAROL CORDY MD
Family Medicine
1629 N 45TH ST
SEATTLE, WA 98103
King County (206) 633-3350
DIONNE KEE
Counselor
1629 N 45TH ST
SEATTLE, WA 98103
King County (206) 633-3350
KATHLEEN WEY DRISCOLL ARNP
Nurse Practitioner
1629 N 45TH ST
SEATTLE, WA 98103
King County (206) 633-3350
ANDREA LIKENS
Dietitian, Registered
1629 N 45TH ST
SEATTLE, WA 98103
King County (206) 548-5850

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 Susan Jackson's NPI number?

The NPI number for Susan Jackson is 1205914314. It was assigned to this individual provider in the NPPES registry on November 2, 2006.

Where is Susan Jackson located?

Susan Jackson practices at 1629 N 45th St, Seattle, WA 98103. The listed phone number is (206) 633-3350.

What is Susan Jackson's specialty?

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

When was this NPI record last updated?

The NPPES record for Susan Jackson was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.