Jackson, Donna G

Jackson, Donna G is an sole proprietor health care provider with primary practice located at 4444 Corona Dr Ste 137 , Corpus Christi TX 78411-4323. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Jackson, Donna G can be contacted via phone (361) 985-1221.

Contact Information

Primary practice address
4444 Corona Dr Ste 137 Corpus Christi TX 78411-4323
Phone: (361) 985-1221
Fax: (361) 985-1295
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 537199 Texas

Profile Details

NPI number 1023081585
LBN Legal business name Jackson, Donna G
Credentials FNP MSN
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 7th, 2006
Last updated Jul 14th, 2023 - about 2 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 1023081585 NPPES
Texas MEDICAID 141127401

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