Lea Ann Jackson, F.NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

707116 Issued in TX

Practice address

3307 Spring Stuebner Ste. A1
Spring, TX 77389

Phone

(281) 528-2273

Fax

(281) 528-6283

NPI assigned

Sep 23, 2008

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• First Family Clinic, Inc.

  • Family Medicine Physician
  • San Antonio, TX
  • NPI 1548451255
  NPD (past)
• Zmediclinic Providers, PA

  • Family Medicine Physician
  • The Woodlands, TX
  • NPI 1952874687
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1222128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571097600000",
    "number": "1013167477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3307 SPRING STUEBNER STE. A1",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "77389",
            "telephone_number": "281-528-2273",
            "fax_number": "281-528-6283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3307 SPRING STUEBNER STE. A1",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "77389",
            "telephone_number": "281-528-2273",
            "fax_number": "281-528-6283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "LEA ANN",
        "name_prefix": "Ms.",
        "credential": "F.NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-23",
        "last_updated": "2019-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "NP19344",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "707116",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joyce Marie Jackson, M.D.
• Kaitlin Denise Jackson
• Kaneisha Jackson
• Kelly Teague Jackson, APRN, FNP
• Laurie J Jackson, CRNA
• Leia Nicole Jackson, D.D.S
• Lisa Jackson, PCA
• Lychelle Kristine Jackson, FNP-C
• Norma Jackson
• Rita Jackson, P.T.

• Nurse Practitioner in Spring, TX
• Providers in Spring, TX by specialty
• Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.