Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TYRA JACKSON, FNP-BC
ActiveTYRA JACKSON, FNP-BC is a Interventional Vascular Surgery healthcare provider located in HINSDALE, Illinois. NPI 1154284453 is currently active in the NPPES registry. Verify at CMS.
Interventional Vascular Surgery · HINSDALE, IL
Registration Details
- NPI Number
- 1154284453
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Dec 4, 2025 (0.69693173802058 yrs)
- Last Updated
- Dec 4, 2025
- License
-
209.033340 (IL)
Practice Information
- Address
-
120 N OAK STHINSDALE, IL, 605213829Browse IL providers · Browse ZIP 60521
- Phone
- 6308566825
- Primary Specialty
-
Interventional Vascular Surgery
208VP0014X
Other Interventional Vascular Surgery Providers in HINSDALE, IL
| Name | Credential | NPI |
|---|---|---|
| FAROOQ ANWAR KHAN | MD | 1104082320 |
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.