Lydia B. Jackson, PA
Physician Assistant · Lynden, WA
UnclaimedPANPI 1851546329
- Primary taxonomy
- 363A00000X
- Enumerated
- 2008-11-25
- Practice location
- Lynden, WA
- Last NPPES update
- 2026-05-28
State licenses
- OR · Physician assistant · NPPES self-reportedListed on NPI record
- WA · Physician assistant · Physician Assistant LicenseActivethrough 2027
“Listed on NPI record” means the provider reported this license to NPPES; other statuses come from the state board’s public records as of the last import. License numbers are not shown.
Source: CMS National Plan & Provider Enumeration System (NPPES) and state licensing boards. ScrubHub shows name, credential, taxonomy, practice city/state and license status only.