Individual
AARON RAY JACKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN PMHNP-BC
Contact information
Practice address
3400 HILLCREST DR, WACO, TX 76708-3120
(254) 342-0222
(254) 342-0202
Mailing address
1663 S 2750 E, SPANISH FORK, UT 84660-9319
(385) 309-4049
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
8646793-4405
UT
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP145836
TX
Other
Enumeration date
02/21/2019
Last updated
08/03/2020
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