Jackson, Brenda D

Jackson, Brenda D is an individual health care provider with primary practice located at 600 E Taylor St Suite 3011, Sherman TX 75090-2881. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Acute Care, which is considered as her primary health care specialty. Jackson, Brenda D can be contacted via phone (903) 893-5177.

Contact Information

Primary practice address
600 E Taylor St Suite 3011 Sherman TX 75090-2881
Phone: (903) 893-5177
Fax: (903) 813-0210
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 257405 Texas

Profile Details

NPI number 1922042951
LBN Legal business name Jackson, Brenda D
Credentials MSN ACNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 16th, 2006
Last updated Jan 7th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1922042951 NPPES
Texas Other 8N7563 BCBS
Texas Other P00264932 BCBS
Texas MEDICAID 1744534-01 BCBS

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