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Contact Information

JENISE T JACKSON, PHLEBOTOMIST
6325 ELEPHANT BUTTE
WACO, TX76708-7509
 Phone: 254-245-1208
 Fax: 254-245-1208
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Technician, Pathology

246R00000X
 

Specialist/Technologist, Pathology

246Q00000X
Indicates primary specialty

NPI Profile & details for JENISE T JACKSON · (Female)

NPI Number 1447041520
Status Active
Credentials PHLEBOTOMIST
Entity Individual
Enumeration date 05/16/2025
Last updated 05/16/2025 - More than a year ago
Sole proprietor 1 No
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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