Individual provider · Type 1 NPI

Brandi Jackson, FNP

Family Nurse Practitioner · Tyler, TX

NPI number 1356817050 Active

Practice location

910 E Houston St Ste 100
Tyler, TX 75702-8363

Fax (903) 579-9935

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000XAP139346 (TX)

Family Nurse Practitioner: Definition to come...

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About NPI 1356817050

Brandi Jackson, FNP's National Provider Identifier is 1356817050, issued on Oct 19, 2018. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Tyler, TX. The record was last updated on Jan 17, 2019.