MS. BRANDI JACKSON (NPI# 1356817050) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356817050 |
| Entity Type | Individual |
| Full Name | MS. BRANDI JACKSON |
| Credential | FNP |
| Practice Address |
910 E Houston St Ste 100 Tyler TX 75702-8363 |
| Practice Telephone | 9035799800 |
| Practice Fax Number | 9035799935 |
| Mailing Telephone | 9035799800 |
| Mailing Fax Number | 9035799935 |
| Enumeration Date | 2018-10-19 |
| Last Update Date | 2019-01-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
AP139346 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 390903801 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033720701 | Brandi Jackson | Nurse Practitioner | Tennessee Valley Pediatrics, 234 Keller Park, Tuscumbia, AL 35674 | 2020-08-14 |
| 1912186321 | Brandi Rochelle Jackson | Dentist | 11223 Davinci Dr, Davidson, NC 28036-7799 | 2007-11-01 |
| 1316406747 | Brandi Jackson | Physical Therapist | 2572 E South Weber Dr Ste 5, South Weber, UT 84405-9550 | 2019-03-15 |
| 1154803104 | Brandi Lynette Jackson | Behavior Technician | 5300 Lennox Ave, Bakersfield, CA 93309-1662 | 2018-09-05 |
| 1255793501 | Brandi Nicole Jackson | Counselor | 22505 Woodroe Ave, Hayward, CA 94541-3410 | 2016-03-25 |
| 1376927830 | Brandi Jackson | Case Manager/Care Coordinator | 245 E 680 S, Cedar City, UT 84720-3593 | 2015-07-15 |
| 1568853984 | Brandi Jackson | Psychiatry & Neurology | 912 S Wood St, Chicago, IL 60612-4300 | 2015-02-06 |
| 1447209630 | Brandi L Jackson | Physical Therapist | 5501 Nw 62nd Ter, Ste 102, Kansas City, MO 64151-2411 | 2006-05-08 |
| Street Address |
910 E HOUSTON ST STE 100 |
| City | TYLER |
| State | TX |
| Zip Code | 75702-8363 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881666477 | Habte Aragaw Yimer Iv | Internal Medicine | 910 E Houston St Ste 100, Tyler, TX 75702-8363 | 2006-02-07 |
| 1679825640 | Amy Lynn Bradbery | Nurse Practitioner | 910 E Houston St Ste 100, Tyler, TX 75702-8363 | 2012-10-15 |
| 1730447558 | Carolyn Gerhardt Jenks | Internal Medicine | 910 E Houston St Ste 100, Tyler, TX 75702-8363 | 2012-04-30 |
| 1194019075 | Sasha C. Strain | Internal Medicine | 910 E Houston St Ste 100, Tyler, TX 75702-8363 | 2011-06-08 |
| 1962573378 | Robert Duane Epps | Pharmacist | 910 E Houston St Ste 100, Tyler, TX 75702-8363 | 2006-11-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679116610 | Tiffiney Mcmakin | Nurse Practitioner | 810 E Houston St # 100, Tyler, TX 75702 | 2019-10-22 |
| 1659852507 | Krystal Gayle Lilley | Licensed Vocational Nurse | 100 E Ferguson St Ste 60a, Tyler, TX 75702 | 2018-08-28 |
| 1679029383 | Cynthia Lynn Kalawe | Physical Therapist | 100 E Ferguson, Suite 1204, Tyler, TX 75702 | 2016-09-01 |
| 1649623646 | Susan E Oxford | Social Worker | 13495 Frankston Highway, Tyler, TX 75702 | 2016-07-14 |
| 1053769281 | All Kidz Kan | Home Health | 2902 E Front St, Tyler, TX 75702 | 2016-05-27 |
| 1821415639 | Heather Mullins | Physical Therapy Assistant | 100 E. Ferguson Ste.1204, Tyler, TX 75702 | 2014-03-19 |
| 1346671336 | Dennis Keith Johnson | Dentist | 3081 Hwy. 31 East, Tyler, TX 75702 | 2013-12-02 |
| 1275882201 | Bobby Gibson | Counselor | 401 East Front Street, Ste 233, Tyler, TX 75702 | 2012-09-06 |
| 1144596792 | Tina Marie Borke | Clinical Neuropsychologist | 719 West Front St., Tyler, TX 75702 | 2012-03-28 |
| 1457629529 | James Whaley Rapp | Specialist/Technologist | 430 South Beckham Avenue, Trinity Mother Frances Sports Medicine, Tyler, TX 75702 | 2011-12-05 |
| Find all providers in zip 75702 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891329728 | Rachel E Fouse | Nurse Practitioner | 323 S Fannin Ave, Tyler, TX 75702-7321 | 2020-02-29 |
| 1942845243 | Nicolette Jane Silverio | Nurse Practitioner | 6116 Wilshire Dr, Tyler, TX 75703-4160 | 2019-11-10 |
| 1679116610 | Tiffiney Mcmakin | Nurse Practitioner | 810 E Houston St # 100, Tyler, TX 75702 | 2019-10-22 |
| 1356996573 | Katy Sutton | Nurse Practitioner | 1901 Belmont Dr, Tyler, TX 75701-4338 | 2019-08-05 |
| 1063067577 | Elnora King | Nurse Practitioner | 1600 Rice Rd Apt 1117, Tyler, TX 75703-3308 | 2019-08-02 |
| 1851959472 | Tx Np Health, Pllc | Nurse Practitioner | 21755 Syrah Ln, Tyler, TX 75703-9274 | 2019-05-29 |
| 1114482569 | Carolyn Johnson | Nurse Practitioner | 13462 Hwy 110 N, Tyler, TX 75704-2444 | 2019-02-08 |
| 1720543556 | Kelsey Danielle Sheeley | Nurse Practitioner | 6770 Old Jacksonville Hwy Ste 103, Tyler, TX 75703-0576 | 2019-02-06 |
| 1790257392 | Tiffany Yvette Gardner | Nurse Practitioner | 301 Fm 757, Tyler, TX 75705-4503 | 2018-12-20 |
| 1174023352 | Jonathan Brice King | Nurse Practitioner | 721 Clinic Dr # A, Tyler, TX 75701-2043 | 2018-02-14 |
| Find all providers in TYLER | ||||
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| 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.