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ANTONIOUS DEWAYNE JACKSON D.C., F.N.P-C
NPI 1205037322
Nurse Practitioner - Family in Bedford, TX

Active since May 29, 2007
2900 HIGHWAY 121 STE 120, BEDFORD, TX 76021(817) 921-3000(817) 921-3001 Get Directions Write a Review

NPPES record last updated: April 12, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Antonious Dewayne Jackson D.c., F.n.p-c NPPES

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

ANTONIOUS DEWAYNE JACKSON D.C., F.N.P-C (NPI 1205037322) is an individual family provider in Bedford, Texas, licensed in Texas (AP133741) and active in the NPI registry since May 2007.

NPPES Registry Identity

NPI1205037322
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameANTONIOUS DEWAYNE JACKSONCredential: D.C., F.N.P-C
Location Address2900 HIGHWAY 121 STE 120Bedford, TX 76021-4033
Mailing AddressPo Box 627Hurst, TX 76053-0627 · (817) 770-3565 · Fax (817) 921-3001
Phone(817) 921-3000
Fax(817) 921-3001
Sole ProprietorYes
Enumeration DateMay 29, 2007
Last NPPES UpdateApril 12, 2017
✔ NPI 1205037322 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in TX · AP133741
Also ListedChiropractor · RehabilitationTaxonomy 111NR0400X · License DC9074 (TX)
2900 HIGHWAY 121 STE 120, Bedford, TX 76021
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Other Providers at the Same Location NPPES 2

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

INNOCENT OMALE FNP
Nurse Practitioner (Psychiatric/Mental Health)
2900 HIGHWAY 121 STE 120
BEDFORD, TX 76021
Tarrant County (817) 921-3000
DR CARL M. NAEHRITZ III D.C. P.C
Chiropractor
2900 HIGHWAY 121 STE 120
BEDFORD, TX 76021
Tarrant County (817) 545-1100

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 Antonious Jackson's NPI number?

The NPI number for Antonious Jackson is 1205037322. It was assigned to this individual provider in the NPPES registry on May 29, 2007.

Where is Antonious Jackson located?

Antonious Jackson practices at 2900 Highway 121 Ste 120, Bedford, TX 76021. The listed phone number is (817) 921-3000.

What is Antonious Jackson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Antonious Jackson was last updated on April 12, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.