J KELSEY JACKSON PA -C
NPI 1861485773
Physician Assistant - Medical in Pasco, WA

Active since August 25, 2005
520 N 4TH AVE, PULMONARY SVCS, PASCO, WA 99301(509) 544-6140(509) 544-6163 Get Directions Write a Review

NPPES record last updated: November 14, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About J Kelsey Jackson Pa -c NPPES

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

J KELSEY JACKSON PA -C (NPI 1861485773) is an individual medical provider in Pasco, Washington, licensed in Washington (PA10003084) and active in the NPI registry since August 2005.

NPPES Registry Identity

NPI1861485773
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameJ KELSEY JACKSONCredential: PA -C
Location Address520 N 4TH AVE, PULMONARY SVCSPasco, WA 99301-5257
Mailing Address520 N 4th Ave, Pulmonary SvcsPasco, WA 99301-5257 · (509) 544-6140 · Fax (509) 544-6163
Fax(509) 544-6163
Sole ProprietorNo
Enumeration DateAugust 25, 2005
Last NPPES UpdateNovember 14, 2007
NPI 1861485773 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in WA · PA10003084
520 N 4TH AVE, Pasco, WA 99301

Other Names 1

Former Name (1)J Kelsey Lawellin-jackson Pa-c

Other Identifiers 3

Medicare UPINP67183WA
Medicare PIN8858076WA
Medicaid8900888WA

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.

Emergency Medicine
520 N 4TH AVE
PASCO, WA 99301
Dietitian, Registered
520 N 4TH AVE
PASCO, WA 99301
Physician Assistant
520 N 4TH AVE
PASCO, WA 99301
Emergency Medicine
520 N 4TH AVE
PASCO, WA 99301
Physician Assistant
520 N 4TH AVE
PASCO, WA 99301
Physical Therapist
520 N 4TH AVE
PASCO, WA 99301
Hospitalist
520 N 4TH AVE
PASCO, WA 99301

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 J Jackson's NPI number?

The NPI number for J Jackson is 1861485773. It was assigned to this individual provider in the NPPES registry on August 25, 2005. The provider is also known as J Kelsey Lawellin-Jackson Pa-C.

Where is J Jackson located?

J Jackson practices at 520 N 4th Ave Pulmonary Svcs, Pasco, WA 99301. The listed phone number is (509) 544-6140.

What is J Jackson's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

When was this NPI record last updated?

The NPPES record for J Jackson was last updated on November 14, 2007. 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.