MRS. ELIZABETH JEAN JACKSON ACNS BC NPI 1659696003

NPI Information

NPI: 1659696003
Provider Name: MRS. ELIZABETH JEAN JACKSON, ACNS BC
Classification: Clinical Nurse Specialist - 364SA2200X
Entity Type: Individual

Specialization: Adult Health

PECOS Registration: Yes

Address:
2401 S 31ST ST
TEMPLE, TX
ZIP 76508
Phone: (254) 724-2111
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MRS. Elizabeth Jean Jackson, ACNS BC is an adult health clinical nurse specialist in Temple, TX with 22 years of experience. MRS. Elizabeth Jean Jackson, ACNS BC NPI is 1659696003. 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:

2401 S 31ST ST
TEMPLE, TX
ZIP 76508-707
Phone: (254) 724-2111
Fax: (254) 724-7603

The NPI 1659696003 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 3/29/2010 and was last updated on 4/17/2023.

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	364SA2200X	Clinical Nurse Specialist	Adult Health	644855	TEXAS	No
2	364SA2200X	Clinical Nurse Specialist	Adult Health	AP112604	TEXAS	Yes

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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