Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Alan Stanley Jackson

Individual provider Addiction (Substance Use Disorder) Registered Nurse · NPI 1902616881

Alan Stanley Jackson is an Addiction (Substance Use Disorder) Registered Nurse in Airway Heights, Washington. Practices as a sole proprietor. Licensed in Washington.

Licensed in
WA
In the registry since
2025

Practice location Address checks out

10811 W 6th Ave
Airway Heights, WA 99001-5345
Phone: (509) 481-4990
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Registered Nurse (primary) Taxonomy 163WA0400X · Licence RN00124636 (WA)

Record details

NPI number1902616881
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJanuary 13, 2025
Last updated in NPPESJanuary 13, 2025
Certification dateJanuary 12, 2025
Mailing address1015 S Pepper Tree Ln, Spokane, WA 99224-2063

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