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CODY BLAKE JACKSON FNP-C
NPI 1073192530
Nurse Practitioner in Houston, TX

Active since April 03, 2021
12704 BAMMEL NORTH HOUSTON ROAD, HOUSTON, TX 77066(713) 461-2915 Get Directions Write a Review

NPPES record last updated: August 28, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 28, 2022, Jan 28, 2022, Dec 7, 2021 and 1 more (4 updates tracked since 2021).

About Cody Blake Jackson Fnp-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CODY BLAKE JACKSON FNP-C (NPI 1073192530) is an individual nurse practitioner in Houston, Texas, licensed in Texas (1073192530) and active in the NPI registry since April 2021.

NPPES Registry Identity

NPI1073192530
Entity TypeIndividualMale
Primary Taxonomy363L00000X
Provider Legal NameCODY BLAKE JACKSONCredential: FNP-C
Location Address12704 BAMMEL NORTH HOUSTON ROADHouston, TX 77066-7706
Mailing Address12704 Bammel North Houston RdHouston, TX 77066-4001 · (318) 235-4015
Phone(713) 461-2915
Sole ProprietorNo
Enumeration DateApril 3, 2021
Last NPPES UpdateAugust 28, 20224 updates tracked since enumeration
NPPES CertifiedAugust 28, 2022
✔ NPI 1073192530 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in TX · 1073192530
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
12704 BAMMEL NORTH HOUSTON ROAD, Houston, TX 77066
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Community Health Choice.Insurance ›

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Cody Jackson's NPI number?

The NPI number for Cody Jackson is 1073192530. It was assigned to this individual provider in the NPPES registry on April 3, 2021.

Where is Cody Jackson located?

Cody Jackson practices at 12704 Bammel North Houston Road, Houston, TX 77066. The listed phone number is (713) 461-2915.

What is Cody Jackson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

What insurance does Cody Jackson accept?

Health plans from Community Health Choice list Cody Jackson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Cody Jackson was last updated on August 28, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.