LISA NICOLE JACKSON B.A. SLPA
NPI 1720493224
Specialist/Technologist - Speech-Language Assistant in Tyler, TX

Q: What is Lisa Jackson's NPI number?

The NPI number for Lisa Jackson is 1720493224. It was assigned to this individual provider in the NPPES registry on June 24, 2014.

Q: What is Lisa Jackson's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, specializing in Speech-Language Assistant, with taxonomy code 2355S0801X.

Q: When was this NPI record last updated?

The NPPES record for Lisa Jackson was last updated on June 24, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.

Active since June 24, 2014

3200 TROUP HWY STE, 120, TYLER, TX 75701(903) 253-0095 Get Directions Write a Review

NPPES record last updated: June 24, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Lisa Nicole Jackson B.a. Slpa NPPES

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

LISA NICOLE JACKSON B.A. SLPA (NPI 1720493224) is an individual speech-language assistant in Tyler, Texas, licensed in Texas (37923) and active in the NPI registry since June 2014.

NPPES Registry Identity

NPI1720493224

Entity TypeIndividualFemale

Primary Taxonomy2355S0801X

Provider Legal NameLISA NICOLE JACKSONCredential: B.A. SLPA

Location Address3200 TROUP HWY STE, 120Tyler, TX 75701

Mailing Address3200 Troup Hwy Ste 120Tyler, TX 75701-8364 · (903) 253-0095

Phone(903) 253-0095

Sole ProprietorYes

Enumeration DateJune 24, 2014

✔ NPI 1720493224 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialist/Technologist · Speech-Language AssistantSpeech, Language and Hearing Service Providers

Taxonomy Code2355S0801X

License✔ Licensed in TX · 37923

3200 TROUP HWY STE, 120, Tyler, TX 75701

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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 Lisa Jackson's NPI number?

The NPI number for Lisa Jackson is 1720493224. It was assigned to this individual provider in the NPPES registry on June 24, 2014.

Where is Lisa Jackson located?

Lisa Jackson practices at 3200 Troup Hwy Ste, 120, Tyler, TX 75701. The listed phone number is (903) 253-0095.

What is Lisa Jackson's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, specializing in Speech-Language Assistant, with taxonomy code 2355S0801X.

When was this NPI record last updated?

The NPPES record for Lisa Jackson was last updated on June 24, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.