Individual provider · Type 1 NPI

Taicaeria Ta'rai Jackson

Nurse Practitioner · Houston, TX

NPI number 1245977503 Active

Practice location

6930 FM 1960 Rd W
Houston, TX 77069-3702

Call (281) 836-6085 Map

Mailing address

4526 Verona Hills Ln
Katy, TX 77449-2990

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X1021096 (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 1245977503

Taicaeria Ta'rai Jackson's National Provider Identifier is 1245977503, issued on May 18, 2022. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Houston, TX. The record was last updated on May 18, 2022.