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

LISA NICOLE JACKSON, B.A. SLPA

Active Sole Proprietor

LISA NICOLE JACKSON, B.A. SLPA is a Swallowing Disorders Speech-Language Pathologist healthcare provider located in TYLER, Texas. NPI 1720493224 is currently active in the NPPES registry. Verify at CMS.

Swallowing Disorders Speech-Language Pathologist · TYLER, TX

Registration Details

NPI Number
1720493224
Provider Type
Individual
Gender
Female
NPI Issued
Jun 24, 2014 (12.116067813972 yrs)
Last Updated
Jun 24, 2014
License
37923 (TX)
Sole Proprietor
Yes

Practice Information

Address
3200 TROUP HWY STE, 120
TYLER, TX, 75701
Browse TX providers · Browse ZIP 75701
Phone
9032530095

Other Swallowing Disorders Speech-Language Pathologist Providers in TYLER, TX

Name Credential NPI
SARAH MOTES 1720103195
NATALIE REAVES 1114115110
SHANDA BODDIE 1750568135
ADRIENNE REED 1811223936
JESSICA ROSS A-SLP 1588969554
ILEANA TORRES 1336552728
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.