Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Alexius Wanequal Jackson

Individual provider Licensed Vocational Nurse · NPI 1578042172

Alexius Wanequal Jackson is a Licensed Vocational Nurse in Jefferson, Texas. Licensed in Texas. Registered with an NPI since 2018.

Licensed in
TX
In the registry since
2018

Practice location Address checks out

120 N Walnut St
Jefferson, TX 75657-1934
Phone: (903) 665-6131
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Licensed Vocational Nurse (primary) Taxonomy 164X00000X · Licence 328492 (TX)

Record details

NPI number1578042172
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 14, 2018
Last updated in NPPESAugust 14, 2018
Mailing addressPo Box 901, Jefferson, TX 75657-0901

Other providers in Jefferson