Individual provider · Type 1 NPI
Angel Jackson, PMHNP
Psychiatric/Mental Health Nurse Practitioner · San Antonio, TX
NPI number
1609300102
Active
Practice location
5119 Beckwith Blvd Ste 105
San Antonio, TX 78249-2277
Fax (210) 265-1442
Mailing address
911 Central Pkwy N Ste 300
San Antonio, TX 78232-5053
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 1024242 (TX) |
| Chiropractor | 111N00000X | 13441 (TX) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1609300102
Angel Jackson, PMHNP's National Provider Identifier is 1609300102, issued on Apr 12, 2017. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in San Antonio, TX. The record was last updated on Oct 29, 2024.