Jackson, Donna Lachelle

Jackson, Donna Lachelle is an individual health care provider with primary practice located at 2990 N Broadway Ave , Tyler TX 75702-2149. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Continuing Education/Staff Development, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Jackson, Donna Lachelle can be contacted via phone (903) 535-9041.

Contact Information

Primary practice address
2990 N Broadway Ave Tyler TX 75702-2149
Phone: (903) 535-9041
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Continuing Education/Staff Development 163WC1600X 676887 Texas
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 1032219 Texas

Profile Details

NPI number 1114531217
LBN Legal business name Jackson, Donna Lachelle
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 4th, 2020
Last updated Mar 27th, 2024 - about last year

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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