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Tommy Lamar Jackson, PA-C

Physician Assistant in Tacoma, WA · enumerated 2006.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1053324186

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Registry record

Entity type Individual (Type 1)
Name Tommy Lamar Jackson
Credential PA-C
Sex Male
Practice address 1802 Yakima Ave Ste 204, Tacoma, WA, 98405
Enumeration date Aug 13, 2006
Last updated in NPPES Dec 4, 2020

Taxonomy & licenses

363AS0400X Surgical Physician Assistant Physician Assistants & Advanced Practice Nursing Providers · License PA60988499 (WA) Secondary
363AS0400X Surgical Physician Assistant Physician Assistants & Advanced Practice Nursing Providers · License 004173 (GA) Secondary
363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers · License PA60988499 (WA) Primary

Other identifiers

Identifier Type State Issuer
2150243 Medicaid WA -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Tommy Jackson?
The National Provider Identifier (NPI) for Tommy Jackson is 1053324186, a Type 1 (individual) record in the CMS NPPES registry.
Where does Tommy Jackson practice?
The practice location on file with NPPES is in Tacoma, WA. Providers can have multiple locations; NPPES lists the primary practice address.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2020-12-04.