Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jackqueline L Robertson, AGACNP-BC

Individual provider Gerontology Nurse Practitioner · NPI 1760214100

Jackqueline L Robertson, AGACNP-BC is a Nurse Practitioner in Beaumont, Texas. Qualified in 2020, 6 years ago. Practices with Jason Martin Medical Consulting LLC, a 51-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Texas.

Years since qualifying
6
Licensed in
TX
In the registry since
2024
Specialties on file
3
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Practice location Address checks out

3080 College St
Beaumont, TX 77701-4606
Phone: (409) 212-5000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence 1172149 (TX)
Gerontology Nurse Practitioner Taxonomy 363LG0600X · Licence 1172149 (TX)
Nursing Care Agency Taxonomy 251J00000X · Licence 690734 (TX)

Record details

NPI number1760214100
Entity typeIndividual (Type 1)
GenderFemale
Credentials AGACNP-BC
Sole proprietorYes
NPI enumeratedAugust 15, 2024
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 2020 (6 years in practice)
Group practice Jason Martin Medical Consulting Llc — 51 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

Other providers in Beaumont