IndividualActive
Jaylie Buckner, NP
NPI 1861375446 · Family Nurse Practitioner · Longview, TX
Provider details
- NPI number
- 1861375446
- Entity type
- Individual
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- NP
- Sex
- Female
- Sole proprietor
- No
- License
- 1037248 (TX)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Established profile(63/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
5 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
707 E Marshall Ave
Longview, TX 75601-5545
Phone: (903) 351-5400
Street-level locationGet directions
Mailing address
1551 E Prospect Rd
Jefferson, TX 75657-7063
Additional practice locations (4)
- 105 N High StHenderson, TX 75652-3133Phone: (903) 595-2283
- 105 Zeid BlvdHenderson, TX 75652-6070Phone: (903) 595-2283
- 1614 S Henderson Blvd Ste aKilgore, TX 75662-3518Phone: (903) 983-2110
- 815 S Washington Ave Ste 304Marshall, TX 75670-5358Phone: (903) 315-4880
Registry dates
- Enumerated
- 2025-07-30
- Last updated
- 2025-10-01
- Certified
- 2025-10-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.