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Contact Information

WHITNEY K JACKY, AU.D.
614 E ALDER ST STE 2
WALLA WALLA, WA99362-2073
 Phone: 509-876-0555
 Fax: 509-876-0556
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Audiologist

231H00000X 64 Audiologist
 

Audiologist-Hearing Aid Fitter

237600000X
Indicates primary specialty

NPI Profile & details for WHITNEY K JACKY · (Female)

NPI # 1386980761
Status Active
Credentials AU.D.
Entity Individual
Enumeration date 12/12/2012
Last updated 06/24/2025 - About 12 months ago
Sole proprietor 1 No
Identifiers
  • WA License # LD60285618
  • WA Medicaid 1336318310
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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