GRANT JACKSON, MD

Family Medicine

Active Individual
NPI: 1306901475

Practice Address

319 E PIONEER AVE
GRANT W JACKSON MD PS
Montesano, WA 98563

Phone: (360) 249-1980

Specialties

Specialty Code Primary License
Emergency Medicine 207P00000X No ML002797 (PA)
Family Medicine 207Q00000X Yes MD60002207 (WA)

Frequently Asked Questions

NPI 1306901475 is the National Provider Identifier for GRANT JACKSON, MD, a Family Medicine provider located in Montesano, WA. This NPI was enumerated on December 27, 2006.
GRANT JACKSON, MD practices at 319 E PIONEER AVE, GRANT W JACKSON MD PS, Montesano, WA 98563.

Quick Facts

NPI
1306901475
Type
Individual
Enumerated
Dec 27, 2006
Last Updated
Aug 4, 2008

Nearby Providers