Individual provider · Type 1 NPI

Michelle Ebong Jackson-Tucker, APRN

Family Nurse Practitioner · Salado, TX

NPI number 1053872036 Active

Practice location

3525 FM 2484
Salado, TX 76571-6169

Fax (254) 947-7521

Mailing address

PO Box 844658
Dallas, TX 75284-4658

Other practice locations

  • 4504 Teal Dr, Killeen, TX 76542-3704 · (281) 777-7144

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000XAP141208 (TX)

Family Nurse Practitioner: Definition to come...

14 other providers at this address

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About NPI 1053872036

Michelle Ebong Jackson-Tucker, APRN's National Provider Identifier is 1053872036, issued on Mar 30, 2019. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Salado, TX. The record was last updated on Jan 30, 2025.