Jackson, Johnathan Stephen

Jackson, Johnathan Stephen is an individual health care provider with primary practice located at 4100 Spring Valley Rd Ste 910 , Farmers Branch TX 75244-3646. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is his primary health care specialty. Jackson, Johnathan Stephen can be contacted via phone (469) 474-5397.

Contact Information

Primary practice address
4100 Spring Valley Rd Ste 910 Farmers Branch TX 75244-3646
Phone: (469) 474-5397
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X AP130946 Texas
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X AP130946 Texas

Profile Details

NPI number 1992151104
LBN Legal business name Jackson, Johnathan Stephen
Credentials DNP, FNP-C, PMHNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date May 5th, 2016
Last updated Apr 10th, 2026 - about 6 months 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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