Individual provider · Type 1 NPI

Robert Alan Jackson, R.N., FNP-C

Family Nurse Practitioner · San Angelo, TX

NPI number 1114076882 Active

Practice location

120 E Beauregard Ave
San Angelo, TX 76903-5919

Call (325) 481-2247 Map

Fax (325) 481-2307

Mailing address

4707 Teakwood Trce
Midland, TX 79707-1636

Specialties and licenses

Taxonomy	Code	License
Family Nurse Practitioner	363LF0000X	655208 (TX)
Family Nurse Practitioner Primary	363LF0000X	AP112515 (TX)

Family Nurse Practitioner: Definition to come...

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About NPI 1114076882

Robert Alan Jackson, R.N., FNP-C's National Provider Identifier is 1114076882, issued on Jan 10, 2007. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in San Angelo, TX. The record was last updated on Jun 27, 2019.