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KELLEY FLYNN JACKSON
NPI 1518743111
Student in an Organized Health Care Education/Training Program in Lakewood, WA

Active since September 07, 2023
9330 59TH AVE SW, LAKEWOOD, WA 98499(253) 581-7020(253) 620-5140 Get Directions Write a Review

NPPES record last updated: September 7, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kelley Flynn Jackson NPPES

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

KELLEY FLYNN JACKSON (NPI 1518743111) is an individual student in an organized health care education/training program in Lakewood, Washington and active in the NPI registry since September 2023.

NPPES Registry Identity

NPI1518743111
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameKELLEY FLYNN JACKSON
Location Address9330 59TH AVE SWLakewood, WA 98499-2858
Mailing Address9330 59th Ave SwLakewood, WA 98499-2858 · (253) 581-7020 · Fax (253) 620-5140
Phone(253) 581-7020
Fax(253) 620-5140
Sole ProprietorNo
Enumeration DateSeptember 7, 2023
NPPES CertifiedSeptember 7, 2023
✔ NPI 1518743111 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.
9330 59TH AVE SW, Lakewood, WA 98499
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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.

CLAUDIA HOCKETT MA
Counselor (Mental Health)
9330 59TH AVE SW
LAKEWOOD, WA 98499
Pierce County (253) 620-5042
MS. TAMMY MARIE STEWART BA
Counselor (Mental Health)
9330 59TH AVE SW
LAKEWOOD, WA 98499
Pierce County (253) 620-5833
MS. SABRINA LAVONNE THOMPSON AAS
Counselor (Mental Health)
9330 59TH AVE SW
LAKEWOOD, WA 98499
Pierce County (253) 620-5015
EDWARD MBUGUA KARANJA LPN
Licensed Practical Nurse
9330 59TH AVE SW
LAKEWOOD, WA 98499
Pierce County (253) 620-5015
ALIDA ROTHGEB
Counselor (Mental Health)
9330 59TH AVE SW
LAKEWOOD, WA 98499
Pierce County (253) 620-7020
ASHLEY PETTIS BS
Counselor (Mental Health)
9330 59TH AVE SW
LAKEWOOD, WA 98499
Pierce County (253) 620-5015
TRACEY WILBER BA
Counselor (Mental Health)
9330 59TH AVE SW
LAKEWOOD, WA 98499
Pierce County (253) 620-5015
ALAINA ANN BUTLER
Counselor (Mental Health)
9330 59TH AVE SW
LAKEWOOD, WA 98499
Pierce County (253) 581-7020

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 Kelley Jackson's NPI number?

The NPI number for Kelley Jackson is 1518743111. It was assigned to this individual provider in the NPPES registry on September 7, 2023.

Where is Kelley Jackson located?

Kelley Jackson practices at 9330 59th Ave SW, Lakewood, WA 98499. The listed phone number is (253) 581-7020.

What is Kelley 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 Kelley Jackson was last updated on September 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.