Donna G Jackson, FNP MSN

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

537199 Issued in TX

Practice address

4444 Corona Dr Ste 137
Corpus Christi, TX 78411-4323

Phone

(361) 985-1221

Fax

(361) 985-1295

NPI assigned

Feb 7, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing, Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Nurse Practitioner Group of Corpus Christi

  • Nurse Practitioner
  • Corpus Christi, TX
  • NPI 1417928953
  NPD Authorized official

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

{
    "created_epoch": "1139270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689292800000",
    "number": "1023081585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6696",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "78466",
            "telephone_number": "361-985-1221",
            "fax_number": "361-985-1295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4444 CORONA DR STE 137",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784114323",
            "telephone_number": "361-985-1221",
            "fax_number": "361-985-1295"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3050 Sunnybrook Rd",
            "address_purpose": "LOCATION",
            "city": "Corpus Christi",
            "state": "TX",
            "postal_code": "784151748",
            "country_code": "US",
            "telephone_number": "361-985-1221",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "DONNA",
        "middle_name": "G",
        "name_prefix": "Mrs.",
        "credential": "FNP MSN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-02-07",
        "last_updated": "2023-07-14",
        "certification_date": "2023-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "537199",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "141127401",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Chaddrick Lendon Jack
• Samantha Jack
• Brittany Jackowiak, PHARMD
• Jackson Chen, MD, PA
• Bria Jackson
• James Richard Jackson, PA-C
• Joel Jackson, LPC,CPO
• Leah Jackson, PTA
• Paul Jackson, DO
• Phillip Jackson, M.D.

• Nurse Practitioner in Corpus Christi, TX
• Providers in Corpus Christi, TX by specialty
• Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.