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GRANT WELLS JACKSON MD
NPI 1306901475
Family Medicine in Montesano, WA

Active since December 27, 2006
319 E PIONEER AVE, GRANT W JACKSON MD PS, MONTESANO, WA 98563(360) 249-1980(360) 249-1993 Get Directions Write a Review

NPPES record last updated: August 4, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Grant Wells Jackson Md NPPES

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

GRANT WELLS JACKSON MD (NPI 1306901475) is an individual family medicine provider in Montesano, Washington, licensed in Washington (MD60002207) and active in the NPI registry since December 2006.

NPPES Registry Identity

NPI1306901475
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameGRANT WELLS JACKSONCredential: MD
Location Address319 E PIONEER AVE, GRANT W JACKSON MD PSMontesano, WA 98563-4601
Mailing Address319 E Pioneer Ave, Grant W Jackson Md PsMontesano, WA 98563-4601 · (360) 249-1980 · Fax (360) 249-1993
Phone(360) 249-1980
Fax(360) 249-1993
Sole ProprietorNo
Enumeration DateDecember 27, 2006
Last NPPES UpdateAugust 4, 2008
✔ NPI 1306901475 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in WA · MD60002207✔ Licensed in PA · ML002797
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedEmergency MedicineTaxonomy 207P00000X · License ML002797 (PA)
319 E PIONEER AVE, Montesano, WA 98563
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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.

GRANT W JACKSON MD PS
Family Medicine
319 E PIONEER AVE
MONTESANO, WA 98563
Grays Harbor County (360) 249-1980
KGP LLC
Nurse Practitioner (Family)
319 E PIONEER AVE
MONTESANO, WA 98563
Grays Harbor County (360) 249-1980
GRAYS HARBOR COMMUNITY HOSPITAL
Clinic/Center (Rural Health)
319 E PIONEER AVE
MONTESANO, WA 98563
Grays Harbor County (360) 249-3300
GRAYS HARBOR COMMUNITY HOSPITAL
Family Medicine
319 E PIONEER AVE
MONTESANO, WA 98563
Grays Harbor County (360) 249-3300
LYNDA BRADY STAFFORD DO
Family Medicine
319 E PIONEER AVE
MONTESANO, WA 98563
Grays Harbor County (360) 249-3300
DR. ROWENA MADERAZO CARATAO M.D.
Pediatrics
319 E PIONEER AVE
MONTESANO, WA 98563
Grays Harbor County (360) 533-4599
JACQUELINE FLOWERS DNP, ARNP, FNP-C
Nurse Practitioner (Family)
319 E PIONEER AVE
MONTESANO, WA 98563
Grays Harbor County (360) 249-3300

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 Grant Jackson's NPI number?

The NPI number for Grant Jackson is 1306901475. It was assigned to this individual provider in the NPPES registry on December 27, 2006.

Where is Grant Jackson located?

Grant Jackson practices at 319 E Pioneer Ave Grant W Jackson MD Ps, Montesano, WA 98563. The listed phone number is (360) 249-1980.

What is Grant Jackson's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Grant Jackson was last updated on August 4, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.