Overview
Name: J KELSEY JACKSON PA -C J KELSEY LAWELLIN-JACKSON PA-C
Specialty: Medical Physician Assistant
Type of Practice: Individual provider
Provider/Org:
Medical School:
Graduation year from medical school:
Affiliation:
Specialties
Practice Type: Physician Assistants & Advanced Practice Nursing Providers
Classification: Physician Assistant
Specialization: Medical.
Definition of Specialty: Definition to come…
License & NPI
License #(s): PA10003084, , , ,
License State(s): WA, , , ,
Addresses
Practice Location: 520 N 4TH AVE,PULMONARY SVCS,PASCO,WA,993015257,US
Mailing Address: 520 N 4TH AVE,PULMONARY SVCS,PASCO,WA,993015257,US
Contact #
Practice location phone #: 5095446140
Practice location fax #: 5095446163
Mailing address Phone #: 5095446140
Mailing Address fax #: 5095446163
Authorized official Name/Telephone #:
Misc
Date NPI was obtained: 08/25/2005
Last data data was updated: 11/14/2007
Insurances: