IVETTE SYRA JACKSON

TACOMA, WA
NPI1699036756
Former NameIVETTE SYRA YAMAMOTO
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LN0005X Nurse Practitioner, Neonatal, Critical Care
(Licence: WA  AP61619732)
Additional Taxonomies363LN0005X Nurse Practitioner, Neonatal, Critical Care
(Licence: CA  95007329)
363LN0005X Nurse Practitioner, Neonatal, Critical Care
(Licence: NE  111345)
363LN0005X Nurse Practitioner, Neonatal, Critical Care
(Licence: FL  ARNP 9350748)
Enumeration Date2012-06-06
Last Update Date2025-01-03
Business Address
IVETTE SYRA JACKSON APRN-NP
315 MARTIN LUTHER KING JR WAY
TACOMA, WA 98405-4291
Phone number: 253-403-1000
Mailing Address
IVETTE SYRA JACKSON APRN-NP
24312 E MAIN DR
SAMMAMISH, WA 98074-3460
Phone number: 323-449-0452