Individual provider · Type 1 NPI
Trenay Jackson, APRN
Family Nurse Practitioner · Fort Worth, TX
NPI number
1679379028
Active
Practice location
8712 Medical City Way
Fort Worth, TX 76177-2414
Mailing address
11408 Squall Hill Dr
Haslet, TX 76052-1386
Other practice locations
- 5600 Tennyson Pkwy, Plano, TX 75024-3818 · (888) 874-0852
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 1191546 (TX) |
Family Nurse Practitioner: Definition to come...
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About NPI 1679379028
Trenay Jackson, APRN's National Provider Identifier is 1679379028, issued on Feb 24, 2025. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Fort Worth, TX. The record was last updated on Apr 8, 2025.