CHERYL JACKSON FNP-BC NPI 1013220268

NPI Information

NPI: 1013220268
Provider Name: CHERYL JACKSON, FNP-BC
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Address:
5002 S LAKE HOUSTON PKWY STE 7
HOUSTON, TX
ZIP 77049
Phone: (832) 831-9390
Get Directions

Cheryl Jackson, FNP-BC is a family nurse practitioner in Houston, TX. Cheryl Jackson, FNP-BC NPI is 1013220268. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

5002 S LAKE HOUSTON PKWY STE 7
HOUSTON, TX
ZIP 77049-631
Phone: (832) 831-9390
Fax: (832) 831-9392

The enumeration date for this NPI number is 7/16/2010 and was last updated on 8/22/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	673649	TEXAS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	TXB142016	OTHER	TEXAS	MEDICARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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