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

Angel Jackson, PMHNP

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1609300102

Angel Jackson, PMHNP is a Nurse Practitioner in San Antonio, Texas. Qualified in 2024, 2 years ago. Practices with Mypsych Mental Health, PLLC, a 14-clinician group and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
2
Licensed in
TX
In the registry since
2017
Specialties on file
2
What do these letters mean?
PMHNP — Psychiatric-Mental Health Nurse Practitioner
A nurse practitioner specialising in mental health, able to prescribe psychiatric medication.

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Practice location Address checks out

5119 Beckwith Blvd Ste 105
San Antonio, TX 78249-2277
Phone: (210) 366-3700
Fax: (210) 265-1442
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 1024242 (TX)
Chiropractor Taxonomy 111N00000X · Licence 13441 (TX)

Record details

NPI number1609300102
Entity typeIndividual (Type 1)
GenderFemale
Credentials PMHNP
Sole proprietorYes
NPI enumeratedApril 12, 2017
Last updated in NPPESOctober 29, 2024
Certification dateOctober 29, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Mypsych Mental Health, Pllc — 14 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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