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

Ethel Pauline Jackson

Individual provider Licensed Vocational Nurse · NPI 1912486515

Ethel Pauline 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 187808 (TX)

Record details

NPI number1912486515
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 14, 2018
Last updated in NPPESAugust 14, 2018

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