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Ms. Brandi Jackson, FNP
Family Nurse Practitioner in Tyler, Texas
NPI 1356817050

Brandi Jackson is a Family Nurse Practitioner based in Tyler, TX and is specialized in Family. Brandi Jackson practices in Tyler, TX and has the professional credentials of FNP. The NPI Number for Brandi Jackson is 1356817050 and holds a License No. AP139346 (Texas).

The current practice location address for Brandi Jackson is 910 E Houston St Ste 100, Tyler, TX and can be reached out via phone at 903-579-9800 and via fax at 903-579-9935.

Location: 910 E Houston St Ste 100, Tyler, TX, 75702-8363
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1356817050
Provider Name
Brandi Jackson
Credential
FNP
Provider Entity Type
Individual
Gender
Female
Address
910 E Houston St Ste 100, Tyler, TX, 75702-8363
Phone Number
903-579-9800
Fax Number
903-579-9935
Provider Enumeration Date
10/19/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
390903801 05 TX
institution
Provider Business Practice Location Address Details
Address
910 E Houston St Ste 100
City
Tyler
State
Texas
Zip
75702-8363
Phone Number
903-579-9800
Fax Number
903-579-9935
person
Provider Business Mailing Address Details
Address
910 E Houston St Ste 100
City
Tyler
State
Texas
Zip
75702-8363
Phone Number
903-579-9800
Fax Number
903-579-9935
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
AP139346 (Texas)
Definition
Definition to come...
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