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

Ella Mae Jackson

Individual provider Licensed Practical Nurse · NPI 1407357999

Ella Mae Jackson is a Licensed Practical Nurse in Stafford, Texas. Practices as a sole proprietor. Licensed in Texas.

Licensed in
TX
In the registry since
2018
Specialties on file
2

Practice location Address checks out

12371 S Kirkwood Rd
Stafford, TX 77477-2836
Phone: (713) 995-9292
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 69742 (TX)
Licensed Practical Nurse Taxonomy 164W00000X · Licence 069742 (TX)

Record details

NPI number1407357999
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedFebruary 21, 2018
Last updated in NPPESFebruary 21, 2018
Mailing address19738 Bluff Canyon Way, Katy, TX 77450-8801

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