LISA NICOLE JACKSON (B.A. SLPA) – Speech-Language Assistant, NPI 1720493224

LISA NICOLE JACKSON (B.A. SLPA) is a healthcare provider. based in Tyler, Texas. specializing in Speech-Language Assistant. They hold the professional credentials B.A. SLPA. They hold a License No. 37923 (TX). The NPI Number for LISA NICOLE JACKSON (B.A. SLPA) is 1720493224

Main info

Female
Sole Proprietor
Name
LISA NICOLE JACKSON (B.A. SLPA)
NPI
1720493224
Phone
(903) 253-0095
Address
3200 TROUP HWY STE 120
Enumeration Date
24 June 2014
Last Update Date
24 June 2014
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:11State licenses:1Digital endpointsOther names

Provider Addresses for LISA NICOLE JACKSON (B.A. SLPA)

  • 3200 TROUP HWY STE 120

    TYLER, TX 757018364

    Phone: (903) 253-0095

    Type: Mailing

  • 3200 TROUP HWY STE, 120

    TYLER, TX 75701

    Phone: (903) 253-0095

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

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

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Medicare Utilization (FFS)

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

Insurance plans in this area (ZIP 75701)

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Frequently asked questions

Is LISA NICOLE JACKSON (B.A. SLPA) listed with a National Provider Identifier?
Yes — LISA NICOLE JACKSON (B.A. SLPA) has NPI 1720493224 on file in the registry.
Is LISA NICOLE JACKSON (B.A. SLPA) still an active registrant?
LISA NICOLE JACKSON (B.A. SLPA) carries an active NPI according to the public dataset.
What clinical focus is listed for LISA NICOLE JACKSON (B.A. SLPA)?
At a glance, LISA NICOLE JACKSON (B.A. SLPA) is tied to Speech-Language Assistant. Clinical services aligned with this taxonomy classification.
Is LISA NICOLE JACKSON (B.A. SLPA) associated with Tyler?
Public fields place LISA NICOLE JACKSON (B.A. SLPA) around Tyler, Texas. Always confirm the exact site before visiting.
Can I trust this NPI listing for LISA NICOLE JACKSON (B.A. SLPA)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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