Twanna Evette Jackson, APN, BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

12795 Issued in TN

Practice address

855 S 4TH St
Memphis, TN 38126-5017

Phone

(901) 593-2530

Fax

(833) 575-2324

NPI assigned

Jun 6, 2007

Last updated

Jun 21, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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

{
    "created_epoch": "1181088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687305600000",
    "number": "1336342559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "855 S 4TH ST",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381265017",
            "telephone_number": "901-593-2530",
            "fax_number": "855-575-2324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "855 S 4TH ST",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381265017",
            "telephone_number": "901-593-2530",
            "fax_number": "833-575-2324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "TWANNA",
        "middle_name": "EVETTE",
        "name_prefix": "Mrs.",
        "credential": "APN, BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-06",
        "last_updated": "2023-06-21",
        "certification_date": "2023-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "12795",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tasheka L Jackson
• Tennye R Jackson, MD
• Toriella Jackson, CPRS
• Treena W Jackson, FNP, MSN
• Trinette Jackson
• Veronica Jackson, CSW
• Veronica M Jackson, LPC MHSP
• Jacob and Sons
• Connor Christopher Jacob, MD
• Jonathan Jacobs, M.D.

• Family Nurse Practitioner in Memphis, TN
• Providers in Memphis, TN by specialty
• Family Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2023; 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.