ETHELYN L JACKSON FNP
NPI 1891027538
Nurse Practitioner - Family in Apo, AE

Q: What is Ethelyn Jackson's NPI number?

The NPI number for Ethelyn Jackson is 1891027538. It was assigned to this individual provider in the NPPES registry on February 5, 2010.

Q: What is Ethelyn Jackson's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Ethelyn Jackson was last updated on February 20, 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.

Active since February 05, 2010

LANDSTUHL MEDICAL REGIONAL CENTER, UNIT 3310,0, APO, AE 09180(314) 590-7363 Get Directions Write a Review

NPPES record last updated: February 20, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 20, 2023, Nov 21, 2022 (2 updates tracked since 2022).

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About Ethelyn L Jackson Fnp NPPES

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

ETHELYN L JACKSON FNP (NPI 1891027538) is an individual family provider in Apo, AE, licensed in Texas (717137) and active in the NPI registry since February 2010.

NPPES Registry Identity

NPI1891027538

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameETHELYN L JACKSONCredential: FNP

Location AddressLANDSTUHL MEDICAL REGIONAL CENTER, UNIT 3310,0Apo, AE 09180-3100

Mailing Address1381 S Main StreetBoerne, TX 78006-2846 · (830) 249-9424

Phone(314) 590-7363

Sole ProprietorNo

Enumeration DateFebruary 5, 2010

Last NPPES UpdateFebruary 20, 20232 updates tracked since enumeration

NPPES CertifiedFebruary 16, 2023

✔ NPI 1891027538 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 · 717137

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 Ethelyn Jackson's NPI number?

The NPI number for Ethelyn Jackson is 1891027538. It was assigned to this individual provider in the NPPES registry on February 5, 2010.

Where is Ethelyn Jackson located?

Ethelyn Jackson practices at Landstuhl Medical Regional Center Unit 3310,0, Apo, AE 09180. The listed phone number is (314) 590-7363.

What is Ethelyn 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 Ethelyn Jackson was last updated on February 20, 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.