Julie Marie Jackson, LVN

Primary specialty

Licensed Vocational NurseTaxonomy code 164X00000X

License

203359 Issued in TX

Practice address

3518 VZCR 2602
Willspoint, TX 75169

Phone

(903) 426-8289

NPI assigned

Apr 2, 2020

Last updated

Apr 2, 2020By 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)

Not enrolled

State licenses

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

{
    "created_epoch": "1585785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585785600000",
    "number": "1962031070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3518 VZCR 2602",
            "city": "WILLSPOINT",
            "state": "TX",
            "postal_code": "75169",
            "telephone_number": "903-426-8289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3518 VZCR 2602",
            "city": "WILLSPOINT",
            "state": "TX",
            "postal_code": "75169",
            "telephone_number": "903-426-8289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "JULIE",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "LVN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-02",
        "last_updated": "2020-04-02",
        "certification_date": "2020-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "TX",
            "license": "203359",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Happy Haven
• Healthy Seniors at Home House Calls, PLLC
• Cary Don Heard, RPH
• Debbie Hill
• Jeffrey John Hornok
• Laura L Jacobs, LVN
• Patricia Ann Jacobs, LVN
• Jaime Hall-Malouf, O.D. 20/20 Vision Care, P.C.
• Jaime Hall-Malouf, O.D. 20/20 Vision Care, P.C.
• Joyce Jones

• Licensed Vocational Nurse in Wills Point, TX
• Providers in Wills Point, 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 2, 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.