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Mr. Donald L Jackson, PA C

Physician Assistant in Kettle Falls, WA · enumerated 2005 · practices at Providence Health & Services Washington.

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

National Provider Identifier

1073501177

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Registry record

Entity type Individual (Type 1)
Name Mr. Donald L Jackson
Credential PA C
Sex Male
Practice address 840 S Meyers St, Kettle Falls, WA, 99141
Fax (509) 738-4180
Enumeration date Oct 12, 2005
Last updated in NPPES Oct 28, 2014

Taxonomy & licenses

363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers · License PA10001811 (WA) Primary

Other identifiers

Identifier Type State Issuer
8118986 Medicaid WA -
127584 Other - L & I
8935341 Other - L & I CRIME VICTIMS

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

Where does Donald Jackson practice?
The practice location on file with NPPES is in Kettle Falls, WA. Providers can have multiple locations; NPPES lists the primary practice address.
What is the NPI number for Donald Jackson?
The National Provider Identifier (NPI) for Donald Jackson is 1073501177, a Type 1 (individual) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2014-10-28.