IndividualActive
Jenise Jackson, PHLEBOTOMIST
NPI 1447041520 · Pathology Technician · Waco, TX
Provider details
- NPI number
- 1447041520
- Entity type
- Individual
- Primary specialty
- Pathology TechnicianTechnologists, Technicians & Other Technical Service Providers
- Credential
- PHLEBOTOMIST
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Technologists, Technicians & Other Technical Service Providers
- Pathology Specialist/Technologist246Q00000X
Technologists, Technicians & Other Technical Service Providers
Practice location
6325 Elephant Butte
Waco, TX 76708-7509
Phone: (254) 245-1208
Fax: (254) 245-1208
Approximate (ZIP-level) locationGet directions
Mailing address
6325 Elephant Butte
Waco, TX 76708-7509
Registry dates
- Enumerated
- 2025-05-16
- Last updated
- 2025-05-16
- Certified
- 2025-05-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.