Individual provider · Type 1 NPI

Donna Lachelle Jackson

Nurse Practitioner · Tyler, TX

NPI number 1114531217 Active

Practice location

2990 N Broadway Ave
Tyler, TX 75702-2149

Mailing address

523 S Fannin Ave
Tyler, TX 75702-8204

Other practice locations

  • 3203 S Main St, Lindale, TX 75771-7727 · (903) 266-4000

Specialties and licenses

TaxonomyCodeLicense
Continuing Education/Staff Development Registered Nurse 163WC1600X676887 (TX)
Nurse Practitioner Primary 363L00000X1032219 (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 1114531217

Donna Lachelle Jackson's National Provider Identifier is 1114531217, issued on Sep 4, 2020. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Tyler, TX. The record was last updated on Mar 27, 2024.