ANTONIOUS DEWAYNE JACKSON (D.C., F.N.P-C) – Family Nurse Practitioner, NPI 1205037322

Family Nurse Practitioner

ANTONIOUS DEWAYNE JACKSON (D.C., F.N.P-C) is a healthcare provider. based in Hurst, Texas. specializing in Family Nurse Practitioner. They hold the professional credentials D.C., F.N.P-C. They hold a License No. DC9074 (TX). The NPI Number for ANTONIOUS DEWAYNE JACKSON (D.C., F.N.P-C) is 1205037322

Main info

Male

Sole Proprietor

Name

ANTONIOUS DEWAYNE JACKSON (D.C., F.N.P-C)

NPI

1205037322

Phone

(817) 770-3565

Address

PO BOX 627

Enumeration Date

29 May 2007

Last Update Date

12 April 2017

Data current as of

19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience61

Completeness75

Years active:19State licenses:2Digital endpointsOther names

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Provider Addresses for ANTONIOUS DEWAYNE JACKSON (D.C., F.N.P-C)

PO BOX 627
HURST, TX 760530627
Phone: (817) 770-3565
Fax: (817) 921-3001
Type: Mailing
Highway 121, Bedford, Tarrant County, Texas, 76022-5841, United States
BEDFORD, TX 760214033
Phone: (817) 921-3000
Fax: (817) 921-3001
Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 76053)

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Reviews

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Frequently asked questions

Is ANTONIOUS DEWAYNE JACKSON (D.C., F.N.P-C) listed with a National Provider Identifier?

Yes — ANTONIOUS DEWAYNE JACKSON (D.C., F.N.P-C) has NPI 1205037322 on file in the registry.

Is there an active status for ANTONIOUS DEWAYNE JACKSON (D.C., F.N.P-C)?

For scheduling context, ANTONIOUS DEWAYNE JACKSON (D.C., F.N.P-C) is shown as active in the registry.

How would a patient describe ANTONIOUS DEWAYNE JACKSON (D.C., F.N.P-C)'s focus?

For ANTONIOUS DEWAYNE JACKSON (D.C., F.N.P-C), the primary taxonomy reads as Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.

Where in Texas is ANTONIOUS DEWAYNE JACKSON (D.C., F.N.P-C) registered?

Use Hurst, Texas as the headline location for ANTONIOUS DEWAYNE JACKSON (D.C., F.N.P-C) here.

What does 2 location(s) imply?

2 practice locations appear in the available data.