Telisha Jackson, LVN

Primary specialty

Licensed Vocational NurseTaxonomy code 164X00000X

License

343267 Issued in TX

Practice address

94043 Loop Rd
Fort Hood, TX 76549

Phone

(254) 553-3147

NPI assigned

Apr 20, 2022

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1650412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650412800000",
    "number": "1780327304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4401 WATERPROOF",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "765494220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "94043 LOOP RD",
            "city": "FORT HOOD",
            "state": "TX",
            "postal_code": "76549",
            "telephone_number": "254-553-3147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "TELISHA",
        "credential": "LVN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-20",
        "last_updated": "2022-04-20",
        "certification_date": "2022-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "TX",
            "license": "343267",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Felib Y Iskander, PH.D., R.PH.
• Zachary Ivey, LCSW
• James Everett Jackson
• Katodra Jackson, M.S., LPC, NCC
• Mary Dawn Jackson, RN
• Tomeka M Jackson, LCSW
• Vanessa Jacoby, PH.D.
• Brandee Lea Jaeger
• Alexandria Fraleigh Jaksha, MD
• Elena Acosta Jallorina, R.N.

• Licensed Vocational Nurse in Fort Hood, TX
• Providers in Fort Hood, TX by specialty
• Licensed Vocational Nurse in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2022; 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.