| Antonious Dewayne Jackson, DC, FNP-C | |
|
2900 Highway 121 Ste 120, Bedford, TX 76021-4033 | |
| (817) 921-3000 | |
| (817) 921-3001 |
| Full Name | Antonious Dewayne Jackson |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner - Family |
| Location | 2900 Highway 121 Ste 120, Bedford, Texas |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205037322 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | AP133741 (Texas) | Primary |
| 111NR0400X | Chiropractor - Rehabilitation | DC9074 (Texas) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Antonious Dewayne Jackson, DC, FNP-C Po Box 627, Hurst, TX 76053-0627 Ph: (817) 770-3565 | Antonious Dewayne Jackson, DC, FNP-C 2900 Highway 121 Ste 120, Bedford, TX 76021-4033 Ph: (817) 921-3000 |
Kristen Michelle Clayton, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3024 Highway 121, Bedford, TX 76021 Phone: 817-494-5000 Fax: 817-494-5001 |
Anitha Tinu, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1999 Forest Ridge Dr, Bedford, TX 76021 Phone: 214-492-3917 Fax: 972-506-3007 |
Mrs. Florence Folaranmi Oni, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1305 Airport Fwy Ste 220, Bedford, TX 76021 Phone: 817-358-5800 Fax: 817-283-7686 |
Amanda Dutro, APRN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1305 Airport Fwy, Bedford, TX 76021 Phone: 817-684-3500 Fax: 817-684-3510 |
Susan Carol Imke, F.N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1305 Airport Fwy, Suite 205, Bedford, TX 76021 Phone: 817-267-6290 Fax: 817-267-0950 |
Hung Pham, PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3901 Airport Fwy, Bedford, TX 76021 Phone: 817-354-5200 |
Britney Molini, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1924 Forest Ridge Dr Ste 400, Bedford, TX 76021 Phone: 817-551-7707 Fax: 833-972-3547 |