Individual provider · Type 1 NPI
Marlischa Jackson
Nurse Practitioner · San Antonio, TX
Practice location
21970 Bulverde Rd Ste 103
San Antonio, TX 78259-2179
Fax (888) 227-1442
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | AP136994 (TX) |
| Family Nurse Practitioner | 363LF0000X | AP136994 (TX) |
| Pediatric Nurse Practitioner | 363LP0200X | AP136994 (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 1801399019
Marlischa Jackson's National Provider Identifier is 1801399019, issued on Mar 14, 2018. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in San Antonio, TX. The record was last updated on Mar 4, 2026.