Mr. Michael Ben Jackson
Mr. Michael Ben Jackson is a Psychiatric/Mental Health Nurse Practitioner in Bremerton, Washington. Practices as a sole proprietor. Licensed in Washington.
- Licensed in
- WA
- In the registry since
- 2006
Practice location Address checks out
925 Adele AveBremerton, WA 98312-3521
Phone: (360) 782-0129
Fax: (360) 377-8029
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Specialties & licences
| Psychiatric/Mental Health Nurse Practitioner (primary) | Taxonomy 363LP0808X · Licence AP30003880 (WA) |
|---|
Record details
| NPI number | 1720199839 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | August 31, 2006 |
| Last updated in NPPES | July 8, 2007 |
| Mailing address | 220 Ne Larson Lake Rd, Belfair, WA 98528-9404 |
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