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

Stacy Latrice Jackson

Individual provider Specialist · NPI 1982898227

Stacy Latrice Jackson is a Specialist in Seattle, Washington. Practices as a sole proprietor. Licensed in Washington.

Licensed in
WA
In the registry since
2007
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Practice location Address checks out

6817 Greenwood Ave N
Seattle, WA 98103-8801
Phone: (725) 351-0871
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence MA00024477 (WA)

Record details

NPI number1982898227
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedAugust 29, 2007
Last updated in NPPESDecember 18, 2008
Mailing address6817 Greenwood Ave N, Seattle, WA 98103-8801

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