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LAURA A JACKSON PA
NPI 1689840738
Physician Assistant in Fort Worth, TX

Active since May 07, 2008
801 7TH AVE, FORT WORTH, TX 76104(682) 885-4054(682) 885-7497 Get Directions Write a Review

NPPES record last updated: June 22, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Laura A Jackson Pa NPPES

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

LAURA A JACKSON PA (NPI 1689840738) is an individual physician assistant in Fort Worth, Texas, licensed in Texas (PA05727) and active in the NPI registry since May 2008.

NPPES Registry Identity

NPI1689840738
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameLAURA A JACKSONCredential: PA
Location Address801 7TH AVEFort Worth, TX 76104-2733
Mailing AddressPo Box 99371Fort Worth, TX 76199-0371 · (682) 885-1855 · Fax (682) 885-7347
Phone(682) 885-4054
Fax(682) 885-7497
Sole ProprietorNo
Enumeration DateMay 7, 2008
Last NPPES UpdateJune 22, 2011
✔ NPI 1689840738 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in TX · PA05727
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
801 7TH AVE, Fort Worth, TX 76104
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Other Identifiers 2

Medicare PIN8L23206TX
Medicaid208704101TX

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.

RACHEL MARIE SOUERS M.D.
Pediatrics
801 7TH AVE
FORT WORTH, TX 76104
Tarrant County (682) 885-6726
JAMIE L COLE LCSW
Social Worker (Clinical)
801 7TH AVE, CASE MANAGEMENT
FORT WORTH, TX 76104
Tarrant County (682) 885-3991
ANNE MARCUM KIRK M.D.
Hospitalist
801 7TH AVE
FORT WORTH, TX 76104
Tarrant County (682) 885-1475
KRISTI E TUCKER FNP
Nurse Practitioner (Family)
801 7TH AVE
FORT WORTH, TX 76104
Tarrant County (682) 885-1475
ISAAC WILSON RN
Registered Nurse
801 7TH AVE
FORT WORTH, TX 76104
Tarrant County (682) 885-4000
DR. BRITTON MICHAEL DEVILLIER M.D., M.P.H.
Emergency Medicine (Pediatric Emergency Medicine)
801 7TH AVE
FORT WORTH, TX 76104
Tarrant County (682) 885-4095
DR. PHUONG THI NGUYEN M.D.
Hospitalist
801 7TH AVE
FORT WORTH, TX 76104
Tarrant County (682) 885-1475
DR. MIRIAM ALLISON BLUM DO
Hospitalist
801 7TH AVE
FORT WORTH, TX 76104
Tarrant County (682) 885-1475

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 Laura Jackson's NPI number?

The NPI number for Laura Jackson is 1689840738. It was assigned to this individual provider in the NPPES registry on May 7, 2008.

Where is Laura Jackson located?

Laura Jackson practices at 801 7th Ave, Fort Worth, TX 76104. The listed phone number is (682) 885-4054.

What is Laura Jackson's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Laura Jackson was last updated on June 22, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.