Donna Lachelle Jackson

NPI #1114531217 in Tyler, Texas

Provider Information

NPI Number
1114531217
Entity Type
Individual
Name
Donna Lachelle Jackson
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Nurse Practitioner
Enumeration Date
Sep 4, 2020
Last Updated
Mar 27, 2024

Practice Location

Address
2990 N BROADWAY AVE
City
Tyler
State
Texas
ZIP Code
75702-2149
Phone
(903) 535-9041

Specialties & Taxonomy Codes

Specialty
Registered Nurse - Continuing Education/Staff DevelopmentContinuing Education/Staff Development
Nurse Practitioner

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