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

Cody Blake Jackson, FNP-C

Individual provider Nurse Practitioner · NPI 1073192530

Cody Blake Jackson, FNP-C is a Nurse Practitioner in Houston, Texas. Licensed in Texas. Registered with an NPI since 2021.

Licensed in
TX
In the registry since
2021
What do these letters mean?
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

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Practice location Address checks out

12704 Bammel North Houston Rd
Houston, TX 77066-7706
Phone: (713) 461-2915
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 1073192530 (TX)

Record details

NPI number1073192530
Entity typeIndividual (Type 1)
GenderMale
Credentials FNP-C
Sole proprietorNo
NPI enumeratedApril 3, 2021
Last updated in NPPESAugust 28, 2022
Certification dateAugust 28, 2022
Mailing address12704 Bammel North Houston Rd, Houston, TX 77066-4001

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