MR. MICHAEL BEN JACKSON
NPI 1720199839
Nurse Practitioner - Psychiatric/Mental Health in Bremerton, WA

Active since August 31, 2006
925 ADELE AVE, BREMERTON, WA 98312(360) 782-0129(360) 377-8029 Get Directions Write a Review

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

About Mr. Michael Ben Jackson NPPES

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

MR. MICHAEL BEN JACKSON (NPI 1720199839) is an individual psychiatric/mental health provider in Bremerton, Washington, licensed in Washington (AP30003880) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1720199839
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameMR. MICHAEL BEN JACKSON
Location Address925 ADELE AVEBremerton, WA 98312-3521
Mailing Address220 Ne Larson Lake RdBelfair, WA 98528-9404 · (360) 782-0129 · Fax (360) 377-8029
Fax(360) 377-8029
Sole ProprietorYes
Enumeration DateAugust 31, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1720199839 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License Licensed in WA · AP30003880
925 ADELE AVE, Bremerton, WA 98312

Other Providers at the Same Location NPPES 10

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

Social Worker (Clinical)
925 ADELE AVE
BREMERTON, WA 98312
Social Worker (Clinical)
925 ADELE AVE
BREMERTON, WA 98312
General Practice
925 ADELE AVE, VAOC BREMERTON
BREMERTON, WA 98312
Internal Medicine
925 ADELE AVE
BREMERTON, WA 98312
Pharmacist
925 ADELE AVE
BREMERTON, WA 98312
Pharmacist
925 ADELE AVE
BREMERTON, WA 98312
Registered Nurse
925 ADELE AVE
BREMERTON, WA 98312
Nurse Practitioner (Psychiatric/Mental Health)
925 ADELE AVE
BREMERTON, WA 98312

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 Michael Jackson's NPI number?

The NPI number for Michael Jackson is 1720199839. It was assigned to this individual provider in the NPPES registry on August 31, 2006.

Where is Michael Jackson located?

Michael Jackson practices at 925 Adele Ave, Bremerton, WA 98312. The listed phone number is (360) 782-0129.

What is Michael Jackson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Michael 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.