MICHELLE CHRISTINE JACKSON

BONNEY LAKE, WA
NPI1215558937
Former NameMICHELLE BALL
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: WA  AP61083974)
Enumeration Date2020-05-05
Last Update Date2022-04-11
Business Address
MICHELLE CHRISTINE JACKSON ARNP
9550 195TH AVE E
BONNEY LAKE, WA 98391-5969
Phone number: 253-447-3400
Mailing Address
MICHELLE CHRISTINE JACKSON ARNP
PO BOX 73939
PUYALLUP, WA 98373-0939
Phone number: 253-720-4642
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