Mary Katherine Jackson, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

RN00140746 Issued in WA

Practice address

343 Whispering Pine LN
Oak Harbor, WA 98277-7827

Phone

(360) 240-0770

NPI assigned

Apr 22, 2007

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1177200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1467670067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "343 WHISPERING PINE LN",
            "city": "OAK HARBOR",
            "state": "WA",
            "postal_code": "982777827",
            "telephone_number": "360-240-0770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "343 WHISPERING PINE LN",
            "city": "OAK HARBOR",
            "state": "WA",
            "postal_code": "982777827",
            "telephone_number": "360-240-0770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "MARY",
        "middle_name": "KATHERINE",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WA",
            "license": "RN00140746",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Island Family Hearing Clinic LLC
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• Island of Hope Counseling PLLC
• Island Prosthodontics
• Island Speech Language & Rehabilitation, Inc.
• Sara Elizabeth Jackson
• Stephanie Lynn Jackson
• Jennifer L Jacobs, LMT
• James Joseph Jacowski III, ARNP
• Jane Ann Jaehning, PT

• Registered Nurse in Oak Harbor, WA
• Providers in Oak Harbor, WA by specialty
• Registered Nurse in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.