Susan Varner Jackson in Bothell - Physician Assistant
Susan Varner Jackson - NPI 1578756540
Susan Varner Jackson is a Physician Assistant in Bothell, Washington. Susan Varner Jackson practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Susan Varner Jackson is 1578756540. The last update date is 2007-08-23.
Susan Varner Jackson's current location address is 18323 Bothell Everett Hwy, Bothell, Washington. You can contact this provider via phone number 4258065700 and fax number 4258065701. The mailing address for Susan Varner Jackson is 18323 Bothell Everett Hwy, Bothell, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Susan Varner Jackson |
|---|---|
| Address | 18323 Bothell Everett Hwy, Bothell, Washington |
| Phone Number | 4258065700 |
| Fax Number | 4258065701 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1578756540 |
|---|---|
| Provider Enumeration Date | 2007-08-23 |
| Last Updated Date | 2007-08-23 |
Provider Mailing Address Detail
| Address | 18323 Bothell Everett Hwy |
|---|---|
| City | Bothell |
| State | Washington (WA) |
| Post Code | 980125246 |
| Phone Number | 4258065700 |
| Fax Number | 4258065701 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | PA10004092 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Post Comment/ Review Below
What is the unique identification code assigned to Susan Varner Jackson by the Centers for Medicare & Medicaid Services?
The Susan Varner Jackson has been issued the NPI (National Provider Identifier) 1578756540. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Susan Varner Jackson?
The Susan Varner Jackson is physically situated at 18323 Bothell Everett Hwy, in the city of Bothell, state of WA, with the postal code 980125246.
What is Susan Varner Jackson's area of expertise and its corresponding taxonomy classification?
The Susan Varner Jackson's field of specialization is Physician Assistant, and it falls under the taxonomy code 363A00000X, which categorizes healthcare providers based on their areas of practice.
On what date did Susan Varner Jackson receive its 1578756540 assignment from the Centers for Medicare & Medicaid Services?
The Susan Varner Jackson was assigned its 1578756540 on 2007-08-23, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Susan Varner Jackson most recently updated or revised?
The details related to Susan Varner Jackson, including its address, specialty, and other relevant information, were last updated or revised on 2007-08-23.
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