MR. DONALD L JACKSON (PA C) – Physician Assistant, NPI 1073501177

MR. DONALD L JACKSON (PA C) is a healthcare provider. based in Liberty lake, Washington. specializing in Physician Assistant. They hold the professional credentials PA C. They hold a License No. PA10001811 (WA). The NPI Number for MR. DONALD L JACKSON (PA C) is 1073501177

Main info

Male
Name
MR. DONALD L JACKSON (PA C)
NPI
1073501177
Phone
(866) 747-2455
Address
PO BOX 421
Enumeration Date
12 October 2005
Last Update Date
28 October 2014
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for MR. DONALD L JACKSON (PA C)

  • 421, Liberty Lane, Evesham Township, Burlington County, New Jersey, 08053-5344, United States

    LIBERTY LAKE, WA 990190421

    Phone: (866) 747-2455

    Fax: (509) 944-9644

    Type: Mailing

  • 840, South Meyers Street, Kettle Falls, Stevens County, Washington, 99141, United States

    KETTLE FALLS, WA 99141

    Phone: (509) 738-6607

    Fax: (509) 738-4180

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 99019)

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Reviews

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Frequently asked questions

What number should I use to identify MR. DONALD L JACKSON (PA C) for billing?
Administrative and clinical systems typically use NPI 1073501177 for MR. DONALD L JACKSON (PA C).
Should I treat MR. DONALD L JACKSON (PA C) as an active provider?
Patients and plans typically see MR. DONALD L JACKSON (PA C) as active in the national extract.
How should patients interpret MR. DONALD L JACKSON (PA C)'s specialty?
The extract shows Physician Assistant for MR. DONALD L JACKSON (PA C). Clinical services aligned with this taxonomy classification.
Is MR. DONALD L JACKSON (PA C) tied to Liberty Lake, Washington?
If you are local to Liberty Lake, Washington, MR. DONALD L JACKSON (PA C) may be relevant to your search.
Can I export MR. DONALD L JACKSON (PA C)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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