Brenda D Jackson, MSN ACNP-BC

Primary specialty

Acute Care Nurse PractitionerTaxonomy code 363LA2100X

License

257405 Issued in TX

Practice address

600 E Taylor St
Suite 3011
Sherman, TX 75090-2881

Phone

(903) 893-5177

Fax

(903) 813-0210

NPI assigned

Jun 16, 2006

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

Other identifiers 3

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing, Nurse Practitioner

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Neurologic & Spine Institute of N.TX., PA

  • Physical Therapist
  • Sherman, TX
  • NPI 1649483900

  Acute Care

  NPD (past)

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

{
    "created_epoch": "1150416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641513600000",
    "number": "1922042951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2432",
            "city": "SHERMAN",
            "state": "TX",
            "postal_code": "750912432",
            "telephone_number": "903-893-5177",
            "fax_number": "903-813-0210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 E TAYLOR ST",
            "address_2": "SUITE 3011",
            "city": "SHERMAN",
            "state": "TX",
            "postal_code": "750902881",
            "telephone_number": "903-893-5177",
            "fax_number": "903-813-0210"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1600 Coit Rd Ste 104",
            "address_purpose": "LOCATION",
            "city": "Plano",
            "state": "TX",
            "postal_code": "750756171",
            "country_code": "US",
            "telephone_number": "972-566-5411",
            "fax_number": "972-519-8337",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "BRENDA",
        "middle_name": "D",
        "credential": "MSN ACNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-16",
        "last_updated": "2022-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "TX",
            "license": "257405",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8N7563",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00264932",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1744534-01",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "BRENDA.JACKSON@hca7.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "1600 Coit Rd Ste 104",
            "city": "Plano",
            "state": "TX",
            "country_code": "US",
            "postal_code": "750756171",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Erol Selahattin Iscimenler, RDN, LD
• Sumbul Islam, M.D.
• Alanna Izzo, M.A, BCBA, LBA
• J Gundersheimer, OD (Eye-do)
• J. Patrick McGrael MD Urology & Associates PA (McGrael Urology Associates)
• Leslie Jackson, MSN, APRN, FNP-C
• Umeika Jackson
• Irfan Adil Jafree, MD
• Reed Ladahn Jahnke
• Ruchi Jain, DDS

• Acute Care Nurse Practitioner in Sherman, TX
• Providers in Sherman, TX by specialty
• Acute Care Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 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.