Amanda P Jackson (NPI# 1366451999, PAC ID# 0547356156) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1366451999 |
| PAC ID by PECOS | 0547356156 |
| Professional Enrollment ID | I20071012000148 |
| Full Name | Amanda P Jackson |
| Organization Legal Name | THE EVERETT CLINIC PLLC |
| Address |
4410 106th St Sw Mukilteo WA 98275-4700 |
| Phone Number | 4254936000 |
| Gender | F |
| Medical School | UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL SCHOOL AT DALLAS |
| Graduation Year | 2003 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 6406752153 |
| Number of Group Practice Members | 504 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 500014 | PROVIDENCE REGIONAL MEDICAL CENTER EVERETT |
| Address | Phone | Organization |
|---|---|---|
| 4410 106th St Sw, Mukilteo, WA 98275-4700 | 4254936000 | THE EVERETT CLINIC PLLC |
| Organization Legal Name | THE EVERETT CLINIC PLLC |
| Physicians | 578 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nishant Nannapaneni | Physical Medicine and Rehabilitation | The Everett Clinic Pllc | 1303 Pacific Ave, Everett, WA 98201-4234 |
| Christina Sujin Theis | Nurse Practitioner | The Everett Clinic Pllc | 3916 148th St Se, Suite 201, Mill Creek, WA 98012-4751 |
| Katie Uberti | Nurse Practitioner | The Everett Clinic Pllc | 4410 106th St Sw, Mukilteo, WA 98275-4700 |
| Christopher Bolander | Family Medicine | The Everett Clinic Pllc | 7205 265th St Nw, Stanwood, WA 98292-6221 |
| Damilola Oluyitan | Family Medicine | The Everett Clinic Pllc | 9924 Ne 185th St, Suite 215, Bothell, WA 98011-3504 |
| Stephanie Hodges | Family Medicine | The Everett Clinic Pllc | 8910 Vernon Rd, Lake Stevens, WA 98258-2400 |
| Justin Steffener | Psychologist, Clinical | The Everett Clinic Pllc | 15418 Main St, Mill Creek, WA 98012-9030 |
| Ge Zhao | Dermatology | The Everett Clinic Pllc | 4004 Colby Ave, Suite 101, Everett, WA 98201-6203 |
| Diana I Bartlett | Nurse Practitioner | The Everett Clinic Pllc | 1201 N 175th St, Shoreline, WA 98133-5064 |
| Tsu-en Tan | Physical Medicine and Rehabilitation | The Everett Clinic Pllc | 3927 Rucker Ave, Everett, WA 98201-4833 |
| Street Address |
4410 106TH ST SW |
| City | MUKILTEO |
| State | WA |
| Zip | 98275-4700 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Katie Uberti | Nurse Practitioner | The Everett Clinic Pllc | 4410 106th St Sw, Mukilteo, WA 98275-4700 |
| Christopher J Bibby | Family Medicine | The Everett Clinic Pllc | 4410 106th St Sw, Mukilteo, WA 98275-4700 |
| Josannie D Concepcion | Nurse Practitioner | The Everett Clinic Pllc | 4410 106th St Sw, Mukilteo, WA 98275-4700 |
| Ji-young Kim | Nurse Practitioner | The Everett Clinic Pllc | 4410 106th St Sw, Mukilteo, WA 98275-4700 |
| John M Beard | Family Medicine | The Everett Clinic Pllc | 4410 106th St Sw, Mukilteo, WA 98275-4700 |
| Stephanie C Wilson | Physical Therapy | The Everett Clinic Pllc | 4410 106th St Sw, Mukilteo, WA 98275-4700 |
| Stephen Dahlberg | Family Medicine | The Everett Clinic Pllc | 4410 106th St Sw, Mukilteo, WA 98275-4700 |
| Karen L Foss Bradford | Physical Therapy | The Everett Clinic Pllc | 4410 106th St Sw, Mukilteo, WA 98275-4700 |
| Michael L Rohrenbach | Family Medicine | The Everett Clinic Pllc | 4410 106th St Sw, Mukilteo, WA 98275-4700 |
| Andrew O Todd | Pediatric Medicine | The Everett Clinic Pllc | 4410 106th St Sw, Mukilteo, WA 98275-4700 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ronald A Krueger | Otolaryngology | 828 2nd St, Suite C, Mukilteo, WA 98275-1601 | |
| Timothy J Neher | Diagnostic Radiology | Virtual Radiologic Professionals LLC | 728 Rice Dr, Mukilteo, WA 98275-2248 |
| Robert S Kreutz Jr. | Chiropractic | Mukilteo Chiropractic Clinic, Pllc | 8004 Mukilteo Speedway, Suite 1, Mukilteo, WA 98275-2653 |
| Brad C Geisler | Chiropractic | 8227 44th Ave W, Suite C, Mukilteo, WA 98275-2848 | |
| Vince N Montes | Endocrinology | 8423 Mukilteo Speedway, Suite 102, Mukilteo, WA 98275-3237 | |
| Russell W Meisner | Physical Therapy | The Everett Clinic Pllc | 4410 106th St Sw, Mukilteo, WA 98275-4700 |
| Agnes Borjal | Physical Therapy | The Everett Clinic Pllc | 4410 106th St Sw, Mukilteo, WA 98275-4700 |
| Kristine Takamiya | Nurse Practitioner | The Everett Clinic Pllc | 4410 106th St Sw, Mukilteo, WA 98275-4700 |
| Bradley K Fankhauser | Internal Medicine | The Everett Clinic Pllc | 4410 106th St Sw, Mukilteo, WA 98275-4700 |
| Melissa A Morrissette | Clinical Social Worker | The Everett Clinic Pllc | 4410 106th St Sw, Mukilteo, WA 98275-4700 |
| Find all physicians in zip 98275 | |||
| City | MUKILTEO |
| Zip Code | 98275 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | MUKILTEO + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Amanda P Jackson.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.