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

Lisa A Jackson, MD

Individual provider Public Health & General Preventive Medicine Physician · NPI 1639299290

Lisa A Jackson, MD is a Public Health & General Preventive Medicine Physician in Seattle, Washington. Licensed in Washington. Registered with an NPI since 2007.

Licensed in
WA
In the registry since
2007
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1730 Minor Ave
Seattle, WA 98101-1498
Phone: (206) 442-5216
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Public Health & General Preventive Medicine Physician (primary) Taxonomy 2083P0901X · Licence MD00027646 (WA)

Record details

NPI number1639299290
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 29, 2007
Last updated in NPPESSeptember 30, 2009
Mailing addressPo Box 34584, Seattle, WA 98124-1584

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