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TANDREA JACKSON FNP
NPI 1710450457
Nurse Practitioner - Family in Lubbock, TX

Active since January 04, 2019
78.65/100
CMS Quality Rating
8612 UTICA AVE, LUBBOCK, TX 79424(806) 283-8156 Get Directions Write a Review

NPPES record last updated: January 4, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Tandrea Jackson Fnp NPPES

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

TANDREA JACKSON FNP (NPI 1710450457) is an individual family provider in Lubbock, Texas, licensed in Texas (AP139797) and active in the NPI registry since January 2019.

NPPES Registry Identity

NPI1710450457
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameTANDREA JACKSONCredential: FNP
Location Address8612 UTICA AVELubbock, TX 79424-4025
Mailing Address8612 Utica AveLubbock, TX 79424-4025
Phone(806) 283-8156
Sole ProprietorNo
Enumeration DateJanuary 4, 2019
✔ NPI 1710450457 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in TX · AP139797
8612 UTICA AVE, Lubbock, TX 79424
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Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

78.65/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality66.95
Improvement Activities40
Cost89.44

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 Tandrea Jackson's NPI number?

The NPI number for Tandrea Jackson is 1710450457. It was assigned to this individual provider in the NPPES registry on January 4, 2019.

Where is Tandrea Jackson located?

Tandrea Jackson practices at 8612 Utica Ave, Lubbock, TX 79424. The listed phone number is (806) 283-8156.

What is Tandrea 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 Tandrea Jackson was last updated on January 4, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.