Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Stacy Latrice Jackson

Individual provider Specialist · NPI 1982898227

Stacy Latrice Jackson is a Specialist in Seattle, Washington. Practices as a sole proprietor. Licensed in Washington.

Licensed in
WA
In the registry since
2007
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Practice location Address checks out

6817 Greenwood Ave N
Seattle, WA 98103-8801
Phone: (725) 351-0871
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence MA00024477 (WA)

Record details

NPI number1982898227
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedAugust 29, 2007
Last updated in NPPESDecember 18, 2008

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