IndividualActive
Ami Jackson, CNA
NPI 1134417348 · Nurse's Aide · Colville, WA
Provider details
- NPI number
- 1134417348
- Entity type
- Individual
- Primary specialty
- Nurse's AideNursing Service Related Providers
- Credential
- CNA
- Sex
- Female
- Sole proprietor
- No
- License
- NC10070414 (WA)
Specialties & taxonomies
Nursing Service Related Providers
Practice location
165 E Hawthorne Ave
Colville, WA 99114-2629
Phone: (509) 684-4597
Fax: (509) 684-5286
Approximate (ZIP-level) locationGet directions
Mailing address
165 E Hawthorne Ave
Colville, WA 99114-2629
Registry dates
- Enumerated
- 2011-07-21
- Last updated
- 2011-07-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.