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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DONNA LACHELLE JACKSON

Active

DONNA LACHELLE JACKSON is a Nurse Practitioner healthcare provider located in TYLER, Texas. NPI 1114531217 is currently active in the NPPES registry. Verify at CMS.

Nurse Practitioner · TYLER, TX

Registration Details

NPI Number
1114531217
Provider Type
Individual
Gender
Female
NPI Issued
Sep 4, 2020 (5.9407683240361 yrs)
Last Updated
Mar 27, 2024
Licenses
676887 (TX)
1032219 (TX)

Practice Information

Address
2990 N BROADWAY AVE
TYLER, TX, 757022149
Browse TX providers · Browse ZIP 75702
Phone
9035359041
Primary Specialty
Nurse Practitioner
363L00000X
Additional Specialty
Nurse Practitioner

Other Nurse Practitioner Providers in TYLER, TX

Name Credential NPI
PATRICIA E LANE ACNP 1427055870
DAVID M MCCASKILL FNP-C, ACNP 1558353169
MRS. CONSTANCE S BENTLEY APRN 1447243571
KERRY SCRUGGS ANP 1922080076
CATHERINE SHELTON PA 1144295742
JENNIFER RIPPY ANP 1366497992
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.