Aaron Ray Jackman, APRN PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

AP145836 Issued in TX

Practice address

3400 Hillcrest Dr
Waco, TX 76708-3120

Phone

(254) 342-0222

Fax

(254) 342-0202

NPI assigned

Feb 21, 2019

Sex

Male

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

State licenses

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

{
    "created_epoch": "1550707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596412800000",
    "number": "1285191635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1663 S 2750 E",
            "city": "SPANISH FORK",
            "state": "UT",
            "postal_code": "846609319",
            "telephone_number": "385-309-4049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 HILLCREST DR",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767083120",
            "telephone_number": "254-342-0222",
            "fax_number": "254-342-0202"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "395 W Bulldog Blvd Fl 6",
            "address_purpose": "LOCATION",
            "city": "Provo",
            "state": "UT",
            "postal_code": "846043311",
            "country_code": "US",
            "telephone_number": "801-357-7525",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JACKMAN",
        "first_name": "AARON",
        "middle_name": "RAY",
        "credential": "APRN PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-02-21",
        "last_updated": "2020-08-03",
        "certification_date": "2020-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "UT",
            "license": "8646793-4405",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "AP145836",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Nichelle Ivey, NP
• Ivy Reign Support Services
• J. Phillip Myatt, M.D., PLLC Dba Waco Heart & Vascular
• Toby Caleb Jacinto III, PTA
• Jack Jones Hearing Centers, Inc.
• April Irene Jackson, RDH
• Christi Rene Jackson, MD
• Jaime Jackson
• James Cameron Jackson, CSFA
• Jenise T Jackson, PHLEBOTOMIST

• Psychiatric/Mental Health Nurse Practitioner in Waco, TX
• Providers in Waco, TX by specialty
• Psychiatric/Mental Health Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2020; 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.