LORA K JACKSON (NPI# 1568824191) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568824191 |
| Entity Type | Individual |
| Full Name | LORA K JACKSON |
| Credential | ARNP |
| Practice Address |
243511 Highway 101 Port Angeles WA 98363-9472 |
| Practice Telephone | 3604526252 |
| Mailing Telephone | 3604526252 |
| Enumeration Date | 2016-03-23 |
| Last Update Date | 2020-04-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | RN60347928 | WA | Nursing Service Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
AP61059916 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| Madigan Army Medical Ctr, 9040 Jackson Ave, Tacoma, WA 984311100 | 2639681110 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013228519 | Lora J Jackson | Counselor | 110 W Main St, Everett, PA 15537-1131 | 2010-06-29 |
| 1083760938 | Lora A Jackson | Nurse Practitioner | 4185 E Wildcat Reserve Pkwy, Ste 100, Highlands Ranch, CO 80126-6801 | 2007-01-25 |
| Street Address |
243511 HIGHWAY 101 |
| City | PORT ANGELES |
| State | WA |
| Zip Code | 98363-9472 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760858765 | Wahji Kasten | Acupuncturist | 243511 Highway 101, Port Angeles, WA 98363-9472 | 2015-08-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164073185 | Sandra Lier | Technician | 1064 Freshwater Park Rd., Port Angeles, WA 98363 | 2019-09-20 |
| 1053969451 | Kari Ann Walen | Physician Assistant | 4407 Fairmont Ave, Port Angeles, WA 98363 | 2019-08-28 |
| 1407313059 | Christina Chadick | Counselor | 243511 Hwy 101 W., Port Angeles, WA 98363 | 2019-03-01 |
| 1982198214 | Serenity House of Clallam County | Case Management | 2203 W. 18th Street, Port Angeles, WA 98363 | 2018-06-20 |
| 1528564325 | Katelynne Mcdaniels | Behavior Technician | 1915 West 5th St, Port Angeles, WA 98363 | 2018-04-02 |
| 1730574930 | Vladislav Abaturov | Nurse Practitioner | 4407 Fairmont Avenue, Port Angeles, WA 98363 | 2015-04-03 |
| 1710314703 | Allan M Steigerwald | Anesthesiology | 4217 South Bean Road, Port Angeles, WA 98363 | 2013-10-04 |
| 1033431010 | Jean Leslie Kruger | Counselor | 3080 Lower Elwha Road, Port Angeles, WA 98363 | 2010-02-18 |
| 1518297001 | John Robert Zey | General Practice | 601 Diamond Vista Drive, Port Angeles, WA 98363 | 2010-01-05 |
| 1043540651 | Connie Lou Landrum | General Practice | 641 Diamond Vista Dr, Port Angeles, WA 98363 | 2010-01-04 |
| Find all providers in zip 98363 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730574930 | Vladislav Abaturov | Nurse Practitioner | 4407 Fairmont Avenue, Port Angeles, WA 98363 | 2015-04-03 |
| 1629153606 | David John Kanters | Nurse Practitioner | 621 E Front St, Port Angeles, WA 98362-3319 | 2006-10-26 |
| 1518056357 | Hollie Rynerson Kaufman | Nurse Practitioner | 243511 West Hwy 101, Port Angeles, WA 98363-9472 | 2006-10-12 |
| 1508832700 | Susan Howland Roberts | Nurse Practitioner | 240 W Front St Ste A, Port Angeles, WA 98362-2609 | 2006-02-27 |
| 1710966163 | Steven E Walls | Nurse Practitioner | 1005 Georgiana St, Port Angeles, WA 98362-3917 | 2006-01-13 |
| 1780169466 | Anna Louise Keywood | Nurse Practitioner | 240 W Front St Ste A, Port Angeles, WA 98362-2609 | 2018-09-28 |
| 1356868202 | Alicia Marie Hedtke | Nurse Practitioner | 1114 Georgiana St, Port Angeles, WA 98362 | 2017-08-22 |
| 1285185231 | Marcella Wildeman | Nurse Practitioner | 939 Caroline St, Port Angeles, WA 98362-3909 | 2016-10-14 |
| 1073062238 | Caren Ellington | Nurse Practitioner | 907 Georgiana St, Port Angeles, WA 98362-3911 | 2016-09-29 |
| 1114470747 | Sherry Churchill | Nurse Practitioner | 243511 W Highway 101, Port Angeles, WA 98363-9472 | 2016-08-01 |
| Find all providers in PORT ANGELES | ||||
| City | PORT ANGELES |
| Zip Code | 98363 |
Please comment or provide details below to improve the information on LORA K JACKSON.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.