Mrs Jennifer Beth Jackson, FNP-C - Nurse Practitioner in Beaumont, TX

Mrs Jennifer Beth Jackson, FNP-C is a Nurse Practitioner - Family based in Beaumont, Texas. Mrs Jennifer Beth Jackson is licensed to practice in Texas (license number 617961) and her current practice location is 318 N 23rd St, Beaumont, Texas. She can be reached at her office (for appointments etc.) via phone at (409) 210-5080.

NPI number for Mrs Jennifer Beth Jackson is 1639357692 and her current mailing address is 318 N 23rd St, Beaumont, Texas. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1639357692.

Contact Information

Mrs Jennifer Beth Jackson, FNP-C
318 N 23rd St,
Beaumont, TX 77707
(409) 210-5080
(409) 242-2123

Map and Direction




Provider's Profile

Full NameMrs Jennifer Beth Jackson
GenderFemale
SpecialityNurse Practitioner - Family
Location318 N 23rd St, Beaumont, Texas
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1639357692
  • Provider Enumeration Date: 02/01/2008
  • Last Update Date: 03/02/2017

Medical Identifiers

Medical identifiers for Mrs Jennifer Beth Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1639357692NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163WC1500XRegistered Nurse - Community Health 617961 (Texas)Secondary
363LF0000XNurse Practitioner - Family 617961 (Texas)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Jennifer Beth Jackson is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mrs Jennifer Beth Jackson, FNP-C
318 N 23rd St,
Beaumont, TX 77707

Ph: (409) 210-5080
Mrs Jennifer Beth Jackson, FNP-C
318 N 23rd St,
Beaumont, TX 77707

Ph: (409) 210-5080

Reviews and Comments


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