Individual provider · Type 1 NPI
Teniola Yetunde Jackson
Primary Care Nurse Practitioner · Houston, TX
NPI number
1295536159
Active
Practice location
13523 Hargrave Rd Ste 100
Houston, TX 77070-3829
Mailing address
25906 Aura Lake Ln
Richmond, TX 77406-1722
Other practice locations
- 26717 Westheimer Pwky, Suite 103, Katy, TX 77494 · (832) 838-4031
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Nurse Practitioner Primary | 363LP2300X | 1193049 (TX) |
Primary Care Nurse Practitioner: Definition to come...
Another provider at this address
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About NPI 1295536159
Teniola Yetunde Jackson's National Provider Identifier is 1295536159, issued on Mar 24, 2025. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Houston, TX. The record was last updated on Jun 18, 2025.