Jenise T Jackson, PHLEBOTOMIST

Primary specialty

Pathology TechnicianTaxonomy code 246R00000X

Practice address

6325 Elephant Butte
Waco, TX 76708-7509

Phone

(254) 245-1208

Fax

(254) 245-1208

NPI assigned

May 16, 2025

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)

Not enrolled

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

{
    "created_epoch": "1747353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747353600000",
    "number": "1447041520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6325 ELEPHANT BUTTE",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767087509",
            "telephone_number": "254-245-1208",
            "fax_number": "254-245-1208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6325 ELEPHANT BUTTE",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767087509",
            "telephone_number": "254-245-1208",
            "fax_number": "254-245-1208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "JENISE",
        "middle_name": "T",
        "credential": "PHLEBOTOMIST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-05-16",
        "last_updated": "2025-05-16",
        "certification_date": "2025-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246Q00000X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Pathology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "246R00000X",
            "taxonomy_group": "",
            "desc": "Technician, Pathology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aaron Ray Jackman, APRN PMHNP-BC
• April Irene Jackson, RDH
• Christi Rene Jackson, MD
• Jaime Jackson
• James Cameron Jackson, CSFA
• Roshunda Jackson, LVN
• Shelynbria Jackson
• Stephania Lashawn Jackson
• Suzanne Jacob, MD
• Michael Lawrence Jahrmarkt, MD

• Pathology Technician in Waco, TX
• Providers in Waco, TX by specialty
• Pathology Technician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2025; 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.