Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DONNITA KAYE JACKSON
Active Sole ProprietorPhysical Disabilities Residential Treatment Facility · AUSTIN, TX
Registration Details
- NPI Number
- 1689924433
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 19, 2012 (13.588636370149 yrs)
- Last Updated
- Sep 12, 2013
- Sole Proprietor
- Yes
Practice Information
- Address
-
1210 SOUTH TRACEAUSTIN, TX, 78745Browse TX providers · Browse ZIP 78745
- Phone
- 5128885985
- Primary Specialty
-
Physical Disabilities Residential Treatment Facility
320700000X
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.