MYRVIENNE JACKSON FNP NPI 1013685957

NPI Information

  • NPI: 1013685957
  • Provider Name: MYRVIENNE JACKSON, FNP
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 529 BRANDIES CIR
    MURFREESBORO, TN
    ZIP 37128
  • Phone: (615) 551-4980

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NPI Details

Myrvienne Jackson, FNP is a family nurse practitioner in Murfreesboro, TN with 4 years of experience. Myrvienne Jackson, FNP NPI is 1013685957. 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:

529 BRANDIES CIR
MURFREESBORO, TN
ZIP 37128-710
Phone: (615) 551-4980

The NPI 1013685957 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 9/3/2021 and was last updated on 9/4/2024.

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
1363LP0808XNurse PractitionerPsychiatric/Mental Health30362TENNESSEENo
2363LF0000XNurse PractitionerFamily30362TENNESSEEYes

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: 11/21/2025

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