IndividualActive
Kathleen Jackson, RN
NPI 1962355628 · Addiction (Substance Use Disorder) Registered Nurse · Walla Walla, WA
Provider details
- NPI number
- 1962355628
- Entity type
- Individual
- Primary specialty
- Addiction (Substance Use Disorder) Registered NurseNursing Service Providers
- Credential
- RN
- Sex
- Female
- Sole proprietor
- No
- License
- RN00119180 (WA)
Specialties & taxonomies
Nursing Service Providers
Profile Score
Established profile(53/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1313 N 13th Ave
Walla Walla, WA 99362-8817
Phone: (509) 540-9215
Street-level locationGet directions
Mailing address
1009 E Alder St
Walla Walla, WA 99362-2451
Registry dates
- Enumerated
- 2026-02-20
- Last updated
- 2026-02-20
- Certified
- 2026-02-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.