DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: MELISSA JACKSON LVN

MEDICARE: MELISSA JACKSON LVN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1164X00000XLicensed Vocational Nurse170941TX

General Provider Information

NPI Number : 1194475012
Entity Type Code : Individual
Provider Name (Legal Business Name) : MELISSA JACKSON LVN
Provider Business Mailing Address
First Line : 7216 WHITE PANDA RUN
Second Line :
City : DEL VALLE
State : TX
Zip : 78617-3581
Country : US
Telephone Number : 512-423-8221
Fax Number :
Provider Business Practice Location Address
First Line : 1110 W WILLIAM CANNON DR STE 303
Second Line :
City : AUSTIN
State : TX
Zip : 78745-3188
Country : US
Telephone Number : 512-899-2100
Fax Number : 512-899-2205
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/24/2022
Last Update Date : 03/24/2022

Similar Medicare Providers

1215241609 — MAINTENANCE AND RECOVERY SERVICES, INC.
Practice Location Address:
1110 W WILLIAM CANNON DR STE 303
AUSTIN, TX
78745-3188
Practice Phone: 512-339-9757
Practice Fax:
1578150694 — SUZANNE SALE HENLEY LCDC
Practice Location Address:
1110 W WILLIAM CANNON DR STE 303
AUSTIN, TX
78745-3188
Practice Phone: 512-899-2100
Practice Fax:
1740938844 — TERRY CLARKE LCDC
Practice Location Address:
1110 W WILLIAM CANNON DR STE 303
AUSTIN, TX
78745-3188
Practice Phone: 512-899-2100
Practice Fax: 512-899-2205
1124778295 — JADE ANN MENA LCDC
Practice Location Address:
1110 W WILLIAM CANNON DR STE 303
AUSTIN, TX
78745-3188
Practice Phone: 512-899-2100
Practice Fax: 512-899-2205
1013667708 — JERRIE DENISE SAN LUIS RN
Practice Location Address:
1110 W WILLIAM CANNON DR STE 303
AUSTIN, TX
78745-3188
Practice Phone: 512-899-2100
Practice Fax: 512-899-2205
1053033225 — ELISABETH KAY SYKES RN
Practice Location Address:
1110 W WILLIAM CANNON DR STE 303
AUSTIN, TX
78745-3188
Practice Phone: 512-899-2100
Practice Fax: 512-899-2205

Directions to “ MELISSA JACKSON LVN” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.