Jackson, Tommora Denice

Jackson, Tommora Denice is an individual health care provider with primary practice located at 7232 North Fwy , Fort Worth TX 76137-2481. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Primary Care. Physician Assistants & Advanced Practice Nursing Providers / Primary Care is her primary health care specialty. Jackson, Tommora Denice can be contacted via phone (817) 232-2100.

Contact Information

Primary practice address
7232 North Fwy Fort Worth TX 76137-2481
Phone: (817) 232-2100
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 697480 Texas
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X AP119152 Texas

Profile Details

NPI number 1497075097
LBN Legal business name Jackson, Tommora Denice
Credentials NP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 4th, 2010
Last updated May 14th, 2015 - about 9 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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