IVETTE SYRA JACKSON APRN-NP
Individual Provider (NPI-1)
Active
Nurse Practitioner, Neonatal, Critical Care
Provider Information
- NPI Number
1699036756- Provider Type
- Individual Provider (NPI-1)
- Credentials
- APRN-NP
- Status
- Active
Contact & Location
- Address
- 315 MARTIN LUTHER KING JR WAY, TACOMA, WA, 984054291
- Phone
- (253) 403-1000
Specialties & Taxonomies
Nurse Practitioner, Neonatal, Critical Care
License: NE #111345
Nurse Practitioner, Neonatal, Critical Care
Primary License: WA #AP61619732
Nurse Practitioner, Neonatal, Critical Care
License: FL #ARNP 9350748
Nurse Practitioner, Neonatal
License: WA #AP61619732
Nurse Practitioner, Neonatal, Critical Care
License: CA #95007329