STACEY JACKSON


Address: 1604 Hospital Pkwy Ste 100, Bedford, TX 76022-5913
Phone: 8178482880

STACEY JACKSON (NPI# 1134645674) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1134645674
Entity Type Individual
Full Name STACEY JACKSON
Credential FNP-C
Practice Address 1604 Hospital Pkwy Ste 100
Bedford
TX 76022-5913
Practice Telephone 8178482880
Practice Fax Number 8178482890
Mailing Telephone 8178482880
Mailing Fax Number 8178482890
Enumeration Date 2017-08-16
Last Update Date 2019-11-13
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
AP134528 TX Physician Assistants & Advanced Practice Nursing Providers

Other Providers STACEY JACKSON

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1497142459 Stacey Ann Jackson Nurse Practitioner 1010 Central Avenue, Suite 2, Billings, MT 59102 2015-04-16
1760807234 Stacey Renea Jackson Counselor 619 N Main St, Muskogee, OK 74401-4431 2014-02-20
1477849826 Stacey Jo Jackson Specialist 17 S Central Ave, Idabel, OK 74745-4625 2011-06-23
1790926905 Stacey L. Jackson Counselor 191 Memorial Dr, Pacolet, SC 29372-2255 2009-03-18
1578722278 Stacey Marie Jackson Physical Therapy Assistant 4680 Cordata Pkwy, Bellingham, WA 98226-8038 2008-06-06
1659562692 Stacey Lajune Jackson Psychologist 110 Eagles Walk, Ste. 100, Stockbridge, GA 30281-7204 2007-08-06
1457470726 Stacey A Jackson Pharmacist 3301 Gordon Dr, Sioux City, IA 51105-3708 2007-03-28

Office Location

Street Address 1604 HOSPITAL PKWY STE 100
City BEDFORD
State TX
Zip Code 76022-5913

Providers in the same location

NPI Name Taxonomy Address Enumeration
1194700344 Lorraine F Kreider Internal Medicine 1604 Hospital Pkwy Ste 100, Bedford, TX 76022-5913 2005-12-09
1467415695 Sherif Y Hanna Internal Medicine 1604 Hospital Pkwy Ste 100, Bedford, TX 76022-5913 2006-04-10
1104889336 Barry J Alldredge Internal Medicine 1604 Hospital Pkwy Ste 100, Bedford, TX 76022-5913 2006-04-10
1841252418 Sunitha Siram Internal Medicine 1604 Hospital Pkwy Ste 100, Bedford, TX 76022-5913 2006-04-06
1821067083 Krishnaveni Bethi Internal Medicine 1604 Hospital Pkwy Ste 100, Bedford, TX 76022-5913 2006-03-17

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1376155754 Jacquelyn H Holloway Registered Nurse 820 Uptown Blvd, Bedrord, TX 76022 2020-08-18
1861972556 Red Diamond Medical Group Pllc Internal Medicine 2700 Tibbets Dr # 301, Bedford, TX 76022 2018-08-21
1649761958 Florine Karimi Mati Behavioral Analyst 1413 Tennis Dr, Bedford, TX 76022 2018-05-22
1760836704 Healing Hands Senior Care Service Technician 1152 High Point Rd., Bedford, TX 76022 2016-04-15
1972965283 Emily Vandoren Physical Therapist 1705 Forest Ridge Drive, Bedford, TX 76022 2016-03-25
1396123949 Decorla Holmes Adult Companion 1152 Highpoint Rd., Bedford, TX 76022 2015-05-15
1629409198 Susan Yvonne Pelletier Durable Medical Equipment & Medical Supplies 1600 Central Drive, Suite 157, Bedford, TX 76022 2013-12-09
1649565953 Alisa Thamwiwat Internal Medicine 1604 Hospital Pkwy Ste 301, Bedford, TX 76022 2011-06-15
1528227576 Ft. Worth Home Care Inc Home Health 1600 Airport Freeway, Suite 503, Bedford, TX 76022 2008-06-05
1225242886 Bedford Family Medicine, Pa Family Medicine 1701 Forest Ridge Dr., Bedford, TX 76022 2007-05-10
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1629680814 Heather Jean Dozois Nurse Practitioner 80 Palomino Ln Ste 402, Bedford, NH 03110-6447 2020-08-19
1760004337 Pamela Urick Nurse Practitioner 33 Darby Ln, Bedford, NH 03110-4517 2020-05-17
1710513932 Nirmal Shrestha Deoju Nurse Practitioner 2345 Leafy Glen Ct, Bedford, TX 76022-6114 2020-03-19
1639729445 Erin Lynn Dedman Nurse Practitioner 470 Us-421, Bedford, KY 40006 2019-09-13
1013495837 Stephanie Ann Mason Nurse Practitioner 2415 Mitchell Rd Ste C, Bedford, IN 47421-4731 2018-08-02
1386121424 Sara Elizabeth Kazanowski Nurse Practitioner 5 Washington Pl Ste 1a, Bedford, NH 03110-6771 2018-07-22
1144722539 Leslie Stevens Kipp Nurse Practitioner 1305 Airport Fwy Ste 420, Bedford, TX 76021-6605 2018-03-01
1407370216 Laura L Boulter Nurse Practitioner 154 Great Rd, Bedford, MA 01730-2725 2017-08-02
1003339623 Kathryn Lynn Alto Nurse Practitioner 88 Center Rd Ste 250a, Bedford, OH 44146-2711 2017-07-25
1306399811 Caitlin Wright Nurse Practitioner 2512b Q St, Bedford, IN 47421-4928 2016-08-01
Find all providers in BEDFORD

Competitor

Search similar providers

City BEDFORD
Zip Code 76022

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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