Gallant Lion Medical
NPI 1114548104ActiveOrganization· Nurse Practitioner, Family· Bellingham, WA
Nurse Practitioner, Family in Bellingham, Washington, registered in NPPES in April 2020. The authorized official on file is Robin Jackson, FNP-C, DNP, Owner.
Overview
| NPI | 1114548104 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 30, 2020 |
| Last updated in NPPES | Oct 2, 2023 |
| Certified by provider | Oct 2, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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