Jackson, Lisa Nicole

Jackson, Lisa Nicole is an sole proprietor health care provider with primary practice located at 3200 Troup Hwy Ste, 120 , Tyler TX 75701. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Assistant, which is considered as her primary health care specialty. Jackson, Lisa Nicole can be contacted via phone (903) 253-0095.

Contact Information

Primary practice address
3200 Troup Hwy Ste, 120 Tyler TX 75701
Phone: (903) 253-0095
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Assistant 2355S0801X 37923 Texas

Profile Details

NPI number 1720493224
LBN Legal business name Jackson, Lisa Nicole
Credentials B.A. SLPA
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 24th, 2014
Last updated Jun 24th, 2014 - about 11 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.

Request for update

Popular Providers