Grant Wells Jackson, MD
Grant Wells Jackson, MD is an Emergency Medicine Physician in Montesano, Washington. Licensed in Pennsylvania and Washington. Registered with an NPI since 2006.
- Licensed in
- PA, WA
- In the registry since
- 2006
- Specialties on file
- 3
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
319 E Pioneer Ave Grant W Jackson Md PsMontesano, WA 98563-4601
Phone: (360) 249-1980
Fax: (360) 249-1993
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Medicine Physician (primary) | Taxonomy 207Q00000X · Licence MD60002207 (WA) |
|---|---|
| Emergency Medicine Physician | Taxonomy 207P00000X · Licence ML002797 (PA) |
| Family Medicine Physician | Taxonomy 207Q00000X · Licence ML002797 (PA) |
Record details
| NPI number | 1306901475 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MD |
| Sole proprietor | No |
| NPI enumerated | December 27, 2006 |
| Last updated in NPPES | August 4, 2008 |
| Mailing address | 319 E Pioneer Ave, Grant W Jackson Md Ps, Montesano, WA 98563-4601 |