IndividualActive
Lisa Jackson, M.D.
NPI 1639299290 · Public Health & General Preventive Medicine Physician · Seattle, WA
Provider details
- NPI number
- 1639299290
- Entity type
- Individual
- Primary specialty
- Public Health & General Preventive Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- License
- MD00027646 (WA)
Mailing address
Po Box 34584
Seattle, WA 98124-1584
Registry dates
- Enumerated
- 2007-03-29
- Last updated
- 2009-09-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.