Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ANTONIOUS DEWAYNE JACKSON, D.C., F.N.P-C
Active Sole ProprietorANTONIOUS DEWAYNE JACKSON, D.C., F.N.P-C is a Family Nurse Practitioner healthcare provider located in BEDFORD, Texas. NPI 1205037322 is currently active in the NPPES registry. Verify at CMS.
Family Nurse Practitioner · BEDFORD, TX
Registration Details
- NPI Number
- 1205037322
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 29, 2007 (19.02968477418 yrs)
- Last Updated
- Apr 12, 2017
- Licenses
-
DC9074 (TX)AP133741 (TX)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2900 HIGHWAY 121 STE 120BEDFORD, TX, 760214033Browse TX providers · Browse ZIP 76021
- Phone
- 8179213000
- Fax
- 8179213001
- Primary Specialty
-
Family Nurse Practitioner
363LF0000X
- Additional Specialty
- Family Nurse Practitioner
Other Family Nurse Practitioner Providers in BEDFORD, TX
| Name | Credential | NPI |
|---|---|---|
| GILBERT CHAD BLACKWELL | D.C., D.A.B.C.O., NP | 1750389003 |
| ELIZABETH GARDNER | APRN, DNP | 1295734333 |
| DEBORAH K. HERTERICH | FNP | 1437158383 |
| ANNE THERESE THOMSON | FNP | 1851492037 |
| ALICE MARIE REED | FNP | 1740381912 |
| MRS. KIMBERLEY DALTON CHITKO | ARNP | 1164559589 |
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.