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JENNER PHILIP JACKSON
NPI 1194429423
Student in an Organized Health Care Education/Training Program in Dallas, TX

Active since March 29, 2023
3302 GASTON AVE, DALLAS, TX 75246(214) 828-8100 Get Directions Write a Review

NPPES record last updated: March 29, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jenner Philip Jackson NPPES

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

JENNER PHILIP JACKSON (NPI 1194429423) is an individual student in an organized health care education/training program in Dallas, Texas and active in the NPI registry since March 2023.

NPPES Registry Identity

NPI1194429423
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameJENNER PHILIP JACKSON
Location Address3302 GASTON AVEDallas, TX 75246-2013
Mailing Address3302 Gaston AveDallas, TX 75246-2013 · (214) 828-8100
Phone(214) 828-8100
Sole ProprietorYes
Enumeration DateMarch 29, 2023
NPPES CertifiedMarch 29, 2023
✔ NPI 1194429423 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
3302 GASTON AVE, Dallas, TX 75246
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BRIANNA TREY CALABRIA
Dentist (General Practice)
3302 GASTON AVE
DALLAS, TX 75246
Dallas County (214) 828-8100
AIMEE ANDREINA DIAZ
Student in an Organized Health Care Education/Training Program
3302 GASTON AVE
DALLAS, TX 75246
Dallas County (214) 828-8215
BRENDA HERNANDEZ MOCTEZUMA
Dental Hygienist
3302 GASTON AVE
DALLAS, TX 75246
Dallas County (214) 828-8100
TERESA ANH PHUONG NGUYEN DMD
Student in an Organized Health Care Education/Training Program
3302 GASTON AVE
DALLAS, TX 75246
Dallas County (214) 828-8215
GRANT KASAL
Student in an Organized Health Care Education/Training Program
3302 GASTON AVE
DALLAS, TX 75246
Dallas County (214) 828-8215
SAAD ULLAH MOHAMMED
Student in an Organized Health Care Education/Training Program
3302 GASTON AVE
DALLAS, TX 75246
Dallas County (214) 828-8100
MR. NICOLAS JOSEPH OSTER
Student in an Organized Health Care Education/Training Program
3302 GASTON AVE
DALLAS, TX 75246
Dallas County (214) 828-8100
DR. BRENT B. HUTSON D.D.S., M.S.
Dentist
3302 GASTON AVE
DALLAS, TX 75246
Dallas County (214) 828-8957

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 Jenner Jackson's NPI number?

The NPI number for Jenner Jackson is 1194429423. It was assigned to this individual provider in the NPPES registry on March 29, 2023.

Where is Jenner Jackson located?

Jenner Jackson practices at 3302 Gaston Ave, Dallas, TX 75246. The listed phone number is (214) 828-8100.

What is Jenner Jackson's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Jenner Jackson was last updated on March 29, 2023. 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.