Individual provider · Type 1 NPI
Cody Blake Jackson, FNP-C
Nurse Practitioner · Houston, TX
Practice location
12704 Bammel North Houston Road
Houston, TX 77066-7706
Mailing address
12704 Bammel North Houston Rd
Houston, TX 77066-4001
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 1073192530 (TX) |
Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…
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About NPI 1073192530
Cody Blake Jackson, FNP-C's National Provider Identifier is 1073192530, issued on Apr 3, 2021. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Houston, TX. The record was last updated on Aug 28, 2022.