person
Ms. Pamela Karol Jackson, CFNP
Family Nurse Practitioner in Tyler, Texas
NPI 1053419606

Pamela Karol Jackson is a Family Nurse Practitioner based in Tyler, TX and is specialized in Family. Pamela Karol Jackson practices in Tyler, TX and has the professional credentials of CFNP. The NPI Number for Pamela Karol Jackson is 1053419606 and holds a License No. 530242 (Texas).

The current practice location address for Pamela Karol Jackson is 1000 S Beckham Ave, Tyler, TX and can be reached out via phone at 903-595-6680 and via fax at 903-592-1934.

Location: 1000 S Beckham Ave, Tyler, TX, 75701-1908
person
Provider Profile Details
NPI Number
1053419606
Provider Name
Pamela Karol Jackson
Credential
CFNP
Provider Entity Type
Individual
Gender
Female
Address
1000 S Beckham Ave, Tyler, TX, 75701-1908
Phone Number
903-595-6680
Fax Number
903-592-1934
Provider Enumeration Date
09/20/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
500026894 01 TX RAILROAD MEDICARE
89N835 01 TX BLUECROSS BLUE SHIELD TX
141129002 05 TX
institution
Provider Business Practice Location Address Details
Address
1000 S Beckham Ave
City
State
Zip
75701-1908
Phone Number
903-595-6680
Fax Number
903-592-1934
person
Provider Business Mailing Address Details
Address
1000 S Beckham Ave
City
State
Zip
75701-1908
Phone Number
903-595-6680
Fax Number
903-592-1934
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
530242 (Texas)
Definition
Definition to come...
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