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

Donna Lachelle Jackson

Individual provider Continuing Education/Staff Development Registered Nurse · NPI 1114531217

Donna Lachelle Jackson is a Nurse Practitioner in Tyler, Texas. Qualified in 2018, 8 years ago. Practices with Christus Trinity Clinic, a 1,531-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
8
Licensed in
TX
In the registry since
2020
Specialties on file
2

Practice location Address checks out

2990 N Broadway Ave
Tyler, TX 75702-2149
Phone: (903) 535-9041
Show map & directions

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

Additional practice locations (1)

  • 3203 S Main St, Lindale, TX 75771-7727 — (903) 266-4000

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 1032219 (TX)
Continuing Education/Staff Development Registered Nurse Taxonomy 163WC1600X · Licence 676887 (TX)

Record details

NPI number1114531217
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 4, 2020
Last updated in NPPESMarch 27, 2024
Certification dateMarch 27, 2024
Mailing address523 S Fannin Ave, Tyler, TX 75702-8204

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Christus Trinity Clinic — 1531 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations7 on file with Medicare