Individual
JENISE T JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHLEBOTOMIST
Contact information
Practice address
6325 ELEPHANT BUTTE, WACO, TX 76708-7509
(254) 245-1208
(254) 245-1208
Mailing address
6325 ELEPHANT BUTTE, WACO, TX 76708-7509
(254) 245-1208
(254) 245-1208
Taxonomy
Speciality
Code
Description
License number
State
246Q00000X
Pathology Specialist/Technologist
—
—
246R00000X
Pathology Technician
Primary
—
—
Other
Enumeration date
05/16/2025
Last updated
05/16/2025
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